MRS. DOMINIQUE BONNER FNP-C
NPI 1679246441
Nurse Practitioner - Family in Cary, NC

Q: What is Dominique Bonner's NPI number?

The NPI number for Dominique Bonner is 1679246441. It was assigned to this individual provider in the NPPES registry on July 28, 2021. The provider is also known as Dominique Mattocks.

Q: What is Dominique Bonner'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 Dominique Bonner was last updated on February 28, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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 July 28, 2021PECOS EnrolledAccepts Medicare Assignment

2994 KILDAIRE FARM RD, CARY, NC 27518(866) 389-2727 Get Directions Write a Review

NPPES record last updated: February 28, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 28, 2023, Jan 8, 2023, Jul 26, 2022 and 2 more (5 updates tracked since 2021).

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About Mrs. Dominique Bonner Fnp-c NPPES

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

MRS. DOMINIQUE BONNER FNP-C (NPI 1679246441) is an individual family provider in Cary, North Carolina, licensed in North Carolina (5016537) and active in the NPI registry since July 2021. She is enrolled in Medicare PECOS, is affiliated with Sentara Careplex Hospital, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1679246441

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameMRS. DOMINIQUE BONNERCredential: FNP-C

Location Address2994 KILDAIRE FARM RDCary, NC 27518-9614

Mailing Address2994 Kildaire Farm RdCary, NC 27518-9614 · (866) 389-2727

Phone(866) 389-2727

Sole ProprietorNo

Medical School CMSOtherGraduated 2021

Enumeration DateJuly 28, 2021

Last NPPES UpdateFebruary 28, 20235 updates tracked since enumeration

NPPES CertifiedFebruary 28, 2023

✔ NPI 1679246441 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

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

Taxonomy Code363LF0000X

License✔ Licensed in NC · 5016537

Also ListedNurse PractitionerTaxonomy 363L00000X · License 0024182605 (VA)

2994 KILDAIRE FARM RD, Cary, NC 27518

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Other Names 1

Former Name (1)Dominique Mattocks

Secondary Practice Locations 2

Location 1315 Hospital DrMartinsville, VA 24112-1945 · Phone (276) 403-4733

Location 213000 Warwick BlvdNewport News, VA 23602-8340 · Phone (757) 269-0136

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

Mrs. Dominique Bonner Fnp-c 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 ID1759786114

PECOS Enrollment IDI20220902002084

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.

Areas of Expertise CMS Part B claims 8

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.

Detection test by immunoassay with direct visual observation for influenza virus 87804

This is a test that identifies the influenza virus in your body. It works by using an immunoassay, a method that detects the presence of the virus through an immune response. The results are directly observable, making it a quick and efficient way to diagnose flu.

122 services56 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

91 services84 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

72 services72 patients

Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus 87426

An immunoassay test for severe acute respiratory syndrome coronavirus is a diagnostic tool. It uses your body's immune response to detect the presence of the virus. It involves taking a sample, usually from your nose or throat, which is then analyzed in a lab for signs of the virus.

61 services58 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

58 services58 patients

Automated urinalysis test 81003

An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.

49 services43 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Sentara Careplex Hospital

Acute Care Hospitals · Hampton, VA

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number490093

Location3000 Coliseum DriveHampton, VA 23666 · Hampton City County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27518 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

$83.90 typical visit price

range $54.12 – $165.09

Typical copayment $20.97 (range $13.53 – $41.27)

Most-billed visit code 99203

Established Patient

$95.94 typical visit price

range $17.21 – $134.61

Typical copayment $23.98 (range $4.30 – $33.65)

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.

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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.

TISA L MITCHELL-FULLWOOD FNP

Nurse Practitioner (Family)