TRACIE F BONNER FNP
NPI 1679709554
Nurse Practitioner - Family in Clay, WV

Active since June 05, 2009PECOS EnrolledAccepts Medicare Assignment
122 CENTER ST, CLAY, WV 25043(304) 587-7301(304) 587-2464 Get Directions Write a Review

NPPES record last updated: September 4, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 4, 2024, Sep 8, 2022, Oct 23, 2017 (3 updates tracked since 2017).

About Tracie F Bonner Fnp NPPES

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

TRACIE F BONNER FNP (NPI 1679709554) is an individual family provider in Clay, West Virginia, licensed in West Virginia (52119) and active in the NPI registry since June 2009. She is enrolled in Medicare PECOS, is affiliated with Charleston Area Medical Center, and maintains a secondary practice location in Charleston.

NPPES Registry Identity

NPI1679709554
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameTRACIE F BONNERCredential: FNP
Location Address122 CENTER STClay, WV 25043-7046
Mailing Address122 Center StClay, WV 25043-7046 · (304) 587-7301 · Fax (304) 587-2464
Fax(304) 587-2464
Sole ProprietorNo
Medical School CMSWest Virginia University School Of MedicineGraduated 2009
Enumeration DateJune 5, 2009
Last NPPES UpdateSeptember 4, 20243 updates tracked since enumeration
NPPES CertifiedSeptember 4, 2024
NPI 1679709554 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 WV · 52119
122 CENTER ST, Clay, WV 25043

Other Names 1

Former Name (1)Tracie F Boner Fnp

Secondary Practice Location 1

Location 13701 MacCorkle Ave SECharleston, WV 25304-1525 · Phone (304) 720-2345 · Fax (304) 720-2347

Other Identifiers 2

Medicaid1679709554WV
Other52119WV · State Np License

Accepted Insurance

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

Tracie F Bonner Fnp 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 ID5799838959
PECOS Enrollment IDI20090805000480
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 12

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.

Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month 99490
Chronic care management services involve a healthcare professional directing clinical staff in managing your chronic conditions. This includes the first 20 minutes per month of services like medication management, care coordination, and health monitoring to help improve your health and quality of life.
494 services71 patients
Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month 99439
Chronic Care Management services involve regular check-ins with healthcare professionals to manage two or more chronic conditions. It includes an additional 20 minutes of clinical staff time per month, directed by a healthcare professional, to ensure optimal health management.
232 services67 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
188 services112 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.
153 services94 patients
Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301
Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.
88 services13 patients
Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
68 services38 patients

Hospital Affiliations CMS Care Compare 3

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

Charleston Area Medical Center

Acute Care Hospitals · Charleston, WV
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number510022
Location501 Morris StreetCharleston, WV 25301 · Kanawha County
Emergency services Birthing friendly

Thomas Memorial Hospital

Acute Care Hospitals · South Charleston, WV
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number510029
Location4605 Maccorkle Avenue SWSouth Charleston, WV 25309 · Kanawha County
Emergency services Birthing friendly

Boone Memorial Hospital

Critical Access Hospitals · Madison, WV
OwnershipGovernment - Local
CMS Certification Number511313
Location701 Madison AvenueMadison, WV 25130 · Boone County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 25043 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
$83.49 typical visit price
range $53.20 – $164.59
Typical copayment $20.87 (range $13.30 – $41.14)
Most-billed visit code 99203
Established Patient
$94.81 typical visit price
range $16.47 – $133.29
Typical copayment $23.70 (range $4.11 – $33.32)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

Reported Quality Measures

Medication Reconciliation Post-Discharge
The percentage of discharges from any inpatient facility (e.g. hospital, skilled nursing facility, or rehabilitation facility) for patients 18 years and older of age seen within 30 days following discharge in the office by the physician, prescribing…
Patients 65+: 100% · 38 patients
100%46 patients
Preventive Care and Screening: Influenza Immunization
Percentage of patients aged 6 months and older seen for a visit between October 1 and March 31 who received an influenza immunization OR who reported previous receipt of an influenza immunization
40%20 patients2/55-star benchmark: 88%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 4

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
4 suppliers13 claims28 services$5.18 avg. paid by Medicare
Continuous positive airway pressure (cpap) device E0601
DME-Other DME · category DE001N
2 suppliers16 claims16 services$31.96 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
2 suppliers17 claims17 services$91.29 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
1 supplier22 claims22 services$215.30 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Family Medicine
122 CENTER ST
CLAY, WV 25043
Counselor
122 CENTER ST
CLAY, WV 25043
Social Worker (Clinical)
122 CENTER ST
CLAY, WV 25043
Clinic/Center (Federally Qualified Health Center (FQHC))
122 CENTER ST
CLAY, WV 25043
Nurse Practitioner (Family)
122 CENTER ST
CLAY, WV 25043
Nurse Practitioner (Family)
122 CENTER ST
CLAY, WV 25043
Nurse Practitioner (Family)
122 CENTER ST
CLAY, WV 25043
Nurse Practitioner (Family)
122 CENTER ST
CLAY, WV 25043

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 Tracie Bonner's NPI number?

The NPI number for Tracie Bonner is 1679709554. It was assigned to this individual provider in the NPPES registry on June 5, 2009. The provider is also known as Tracie F Boner Fnp.

Where is Tracie Bonner located?

Tracie Bonner practices at 122 Center St, Clay, WV 25043. The listed phone number is (304) 587-7301.

What is Tracie Bonner's specialty?

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

Is Tracie Bonner enrolled in Medicare?

Yes. Tracie Bonner 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.

What insurance does Tracie Bonner accept?

Health plans from CareSource and Highmark Blue Cross Blue Shield West Virginia list Tracie Bonner as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Tracie Bonner affiliated with any hospitals?

According to CMS data, Tracie Bonner is affiliated with Charleston Area Medical Center, Thomas Memorial Hospital and Boone Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Tracie Bonner was last updated on September 4, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.