MR. BONAVENTURE MBELLA
NPI 1548818750
Nurse Practitioner - Gerontology in Bowie, MD
About Mr. Bonaventure Mbella NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. BONAVENTURE MBELLA (NPI 1548818750) is an individual gerontology provider in Bowie, Maryland, licensed in Maryland (R196090) and active in the NPI registry since August 2019. He is enrolled in Medicare PECOS and is a graduate of Other (2020).
NPPES Registry Identity
Specialties & Licenses 4
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Mr. Bonaventure Mbella is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 20721 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Bonaventure Mbella's NPI number?
The NPI number for Bonaventure Mbella is 1548818750. It was assigned to this individual provider in the NPPES registry on August 30, 2019.
Where is Bonaventure Mbella located?
Bonaventure Mbella practices at 12513 Woodsong Ln, Bowie, MD 20721. The listed phone number is (256) 417-7067.
What is Bonaventure Mbella's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.
Is Bonaventure Mbella enrolled in Medicare?
Yes. Bonaventure Mbella is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
When was this NPI record last updated?
The NPPES record for Bonaventure Mbella was last updated on May 13, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Mr. Bonaventure Mbella · NPI 1548818750
Gerontology physician in Bowie, Maryland. Individual provider, active in the CMS NPPES registry since August 30, 2019.
## Identity
- **NPI:** 1548818750 (Entity type: Individual)
- **Enumerated:** August 30, 2019
- **Primary specialty:** Nurse Practitioner - Gerontology · taxonomy 363LG0600X
- **State license:** R196090 (Maryland)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 12513 WOODSONG LN, Bowie, MD 20721-4225
- **Phone:** (256) 417-7067
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2020
## Record status
- **NPPES last updated:** May 13, 2025
---
Source: [NPI Profile](https://npiprofile.com/npi/1548818750) · Data from the CMS NPPES public registry.