BONITA JOAN CLARK APRN
NPI 1639686363
Nurse Practitioner - Family in St Petersburg, FL

Q: What is Bonita Clark's NPI number?

The NPI number for Bonita Clark is 1639686363. It was assigned to this individual provider in the NPPES registry on January 3, 2018. The provider is also known as Bonita Joan Holloman.

Q: What is Bonita Clark's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Bonita Clark was last updated on May 20, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.

Active since January 03, 2018PECOS EnrolledAccepts Medicare Assignment

1839 CENTRAL AVE, ST PETERSBURG, FL 33713(727) 322-1054(727) 821-7213 Get Directions Write a Review

NPPES record last updated: May 20, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: May 20, 2022, Jun 16, 2018 (2 updates tracked since 2018).

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About Bonita Joan Clark Aprn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BONITA JOAN CLARK APRN (NPI 1639686363) is an individual family provider in St Petersburg, Florida, licensed in Florida (APRN11000995) and active in the NPI registry since January 2018. She is enrolled in Medicare PECOS and is a graduate of Other (2017).

NPPES Registry Identity

NPI1639686363

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameBONITA JOAN CLARKCredential: APRN

Location Address1839 CENTRAL AVESt Petersburg, FL 33713-8900

Mailing Address1839 Central AveSt Petersburg, FL 33713-8900 · (727) 322-1054 · Fax (727) 821-7213

Phone(727) 322-1054

Fax(727) 821-7213

Sole ProprietorNo

Medical School CMSOtherGraduated 2017

Enumeration DateJanuary 3, 2018

Last NPPES UpdateMay 20, 20222 updates tracked since enumeration

NPPES CertifiedMay 20, 2022

✔ NPI 1639686363 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in FL · APRN11000995

1839 CENTRAL AVE, St Petersburg, FL 33713

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Other Names 1

Former Name (1)Bonita Joan Holloman

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Bonita Joan Clark Aprn 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.

PECOS PAC ID1153708151

PECOS Enrollment IDI20220512001980

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

Medicare enrollment records show Bonita Clark reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Professional Health Care Of Pinellas LLC

Same address

Internal Medicine

1839 CENTRAL AVE
St Petersburg, FL 33713

Reassigned Medicare billing, Florida enrollment
220 clinicians in this Medicare group

NPI 1881647253 (727) 322-1054

Abundant Harvest Health And Healing, LLC

15 mi

Family

1015 GOLDEN SHINER AVE
Ruskin, FL 33570

Reassigned Medicare billing, Florida enrollment

NPI 1437973427 (727) 342-0209

Mana Health Partners PA

32 mi

Internal Medicine

1507 S TUTTLE AVE
Sarasota, FL 34239

Reassigned Medicare billing, Florida enrollment
155 clinicians in this Medicare group

NPI 1437925047 (732) 730-7480

Careconnectmd Florida P.A.

183 mi

Geriatric Medicine

10151 DEERWOOD PARK BLVD STE 250
Jacksonville, FL 32256

Reassigned Medicare billing, Florida enrollment
102 clinicians in this Medicare group

NPI 1912632886 (888) 789-9585

Comprehensive Hospital Physicians Of Florida Inc

619 mi

Internal Medicine

120 BRENTWOOD COMMONS WAY STE 510
Brentwood, TN 37027

Reassigned Medicare billing, Florida enrollment
23 clinicians in this Medicare group

NPI 1245960681 (615) 371-5741

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 16

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes 99348

An established patient home visit is a 25-minute appointment where a healthcare provider visits you at your home. This service is for patients who have previously been seen by the provider. It includes a check-up and discussion about your health concerns.

335 services120 patients

Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes 99349

An established patient home visit is a medical appointment conducted at your home, typically lasting around 40 minutes. This service is ideal for patients who may find it difficult to travel to a healthcare facility. During this visit, a healthcare professional will evaluate your health status, manage your care, and answer any health-related questions you may have.

252 services100 patients

Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308

A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.

111 services64 patients

Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309

A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.

83 services54 patients

Residence visit for established patient with straightforward medical decision making, per day, if using time, at least 15 minutes 99347

An established patient home visit is a service where a healthcare professional visits your home for a 15-minute check-up. It's designed for patients who have previously seen the professional. The visit may include basic health assessments and discussions about your ongoing care.

60 services41 patients

Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes 99310

A follow-up nursing facility visit is a routine check-up that typically lasts about 35 minutes. During this visit, your health status is evaluated, any changes in your condition are noted, and necessary adjustments to your care plan are made. It's an essential part of maintaining your health.

52 services43 patients

Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and G0180

This is a service where a doctor or authorized practitioner certifies that you require Medicare-covered home health services. They will communicate with the home health agency and review reports on your health status to ensure you receive appropriate care. This does not involve an in-person visit.

43 services35 patients

Residence visit for new patient with moderate level of medical decision making, per day, if using time, at least 60 minutes 99344

A new patient home visit is a comprehensive service where a healthcare professional visits your home for about an hour. This visit includes an overall health assessment, discussion about your medical history, and planning for future healthcare needs. The goal is to understand your health status and provide personalized care.

26 services26 patients

Transitional care management services for problem of high complexity 99496

Transitional care management services are designed to ensure a smooth transition from a hospital to home or another care setting for patients with complex health issues. These services include medication management, patient education, and coordination with healthcare providers.

25 services19 patients

Advance care planning, first 30 minutes 99497

Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.

22 services22 patients

Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439

An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.

21 services21 patients

Physician or allowed practitioner re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians a G0179

This procedure involves a doctor or approved practitioner reviewing your health status and re-certifying your need for Medicare-covered home health services. It includes communication with the home health agency and assessment of your health reports, even when you're not physically present.

17 services13 patients

Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes 99307

A follow-up nursing facility visit per day typically lasts about 10 minutes. This service involves a healthcare professional checking on your health status, answering any questions you may have, and monitoring your progress. This routine check ensures your recovery is on track and any concerns are addressed promptly.

15 services12 patients

Residence visit for new patient with low level of medical decision making, per day, if using time, at least 30 minutes 99342

A new patient home visit is a 30-minute appointment where a healthcare provider comes to your home to assess your health needs. This can include discussing your medical history, current conditions, and treatment plans. It's a convenient way to receive care in your own environment.

13 services13 patients

Residence visit for new patient with high level of medical decision making, per day, if using time, at least 75 minutes 99345

A new patient home visit is a comprehensive 75-minute appointment conducted at your home. The healthcare professional will assess your health, discuss any concerns, and create a personalized care plan. It's convenient, comfortable, and tailored to your specific needs.

11 services11 patients

Advance care planning, first 30 minutes 99497

11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33713 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$87.62 typical visit price

range $56.00 – $171.84

Typical copayment $21.90 (range $14.00 – $42.96)

Most-billed visit code 99203

Established Patient

$99.16 typical visit price

range $17.57 – $139.16

Typical copayment $24.79 (range $4.39 – $34.79)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MELISSA ANNE STANILKA APRN

Nurse Practitioner (Family)

1839 CENTRAL AVE
SAINT PETERSBURG, FL 33713

Pinellas County (727) 322-1054

BARBARA SIMEON ARNP

Nurse Practitioner (Family)

1839 CENTRAL AVE
SAINT PETERSBURG, FL 33713

Pinellas County (727) 458-6490

CLINT COPACIA

Pharmacist