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

Q: 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.

Q: What is Tracie 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 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 2 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 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: October 25, 2026.

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

On this page

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

Phone(304) 587-7301

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

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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

The full list of accepted plans is on the Insurance tab. Issuers include CareSource, CareSource (Common Ground Healthcare), Highmark Blue Cross Blue Shield West Virginia.Insurance ›

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

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.

Medicare Billing Reassignments

Medicare enrollment records show Tracie Bonner reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Community Care Of West Virginia, Inc.

Same address

Federally Qualified Health Center (FQHC)

122 CENTER ST
Clay, WV 25043

Reassigned Medicare billing, West Virginia enrollment
Also billed through NPI 1609042266 (West Virginia), NPI 1770917577 (West Virginia), NPI 1114277050 (West Virginia)
60 clinicians in this Medicare group

NPI 1073562641 (304) 587-7301

Msrc, LLC

33 mi

Community/Behavioral Health

102 PATRICK STREET PLZ
Charleston, WV 25387

Reassigned Medicare billing, West Virginia enrollment
7 clinicians in this Medicare group

NPI 1194294587 (304) 941-9779

Ths Physician Partners Inc

36 mi

Internal Medicine

4605 MACCORKLE AVE SW
South Charleston, WV 25309

Reassigned Medicare billing, West Virginia enrollment
466 clinicians in this Medicare group

NPI 1871866806 (304) 414-4800

Signify Health Medical Associates, PLLC

964 mi

General Practice

4055 VALLEY VIEW LN STE 700
Dallas, TX 75244

Reassigned Medicare billing, West Virginia enrollment
228 clinicians in this Medicare group

NPI 1750845863 (972) 715-3800

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 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

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.

39 services39 patients

Urine microalbumin (protein) analysis 82044

Urine microalbumin analysis is a test that measures the amount of a protein called albumin in your urine. This protein is usually present in very small amounts, but higher levels can indicate kidney issues. The test is non-invasive and involves a simple urine sample.

27 services27 patients

Urinalysis, manual test 81002

A urinalysis is a simple, non-invasive test that checks the urine for various elements such as sugar, protein, and signs of infection. It can help detect many common conditions, including kidney disease and diabetes. The manual test involves a lab technician examining a urine sample.

22 services18 patients

Aspiration and/or injection of fluid from large joint 20610

This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.

21 services12 patients

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212

This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.

14 services14 patients

Annual depression screening, 5 to 15 minutes G0444

An annual depression screening is a short, routine evaluation to check for signs of depression. It involves answering a series of questions about your feelings, thoughts, and behaviors. The process takes about 15 minutes and helps detect depression early for better management.

11 services11 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.

SARAH B CHOUINARD MD

Family Medicine

122 CENTER ST
CLAY, WV 25043

Clay County (304) 587-7301

KELLY DUFFIELD ED.S, M.A., NCSP

Counselor

122 CENTER ST
CLAY, WV 25043

Clay County (304) 587-2867

MEGAN LYNNETTE PARKER LGSW

Social Worker (Clinical)

122 CENTER ST
CLAY, WV 25043

Clay County (304) 587-2541

COMMUNITY CARE OF WEST VIRGINIA, INC.

Clinic/Center (Federally Qualified Health Center (FQHC))

122 CENTER ST
CLAY, WV 25043

Clay County (304) 587-7301

ANGELA GAYLE CARTER APRN, BC

Nurse Practitioner (Family)

122 CENTER ST
CLAY, WV 25043

Clay County (304) 587-7301

VICTORIA M DOBBINS FNP

Nurse Practitioner (Family)

122 CENTER ST
CLAY, WV 25043

Clay County (304) 587-7301

MR. JEREMY WALKER FNP-C

Nurse Practitioner (Family)

122 CENTER ST
CLAY, WV 25043

Clay County (304) 587-7301

TORIE ALICE LYNN HARPER FNP

Nurse Practitioner (Family)

122 CENTER ST
CLAY, WV 25043

Clay County (304) 587-7301

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.

Which organizations bill Medicare for Tracie Bonner's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Tracie Bonner reassigns Medicare benefits to 4 organizations: Community Care Of West Virginia, Inc. (Clay, WV), Msrc, LLC (Charleston, WV), Ths Physician Partners Inc (South Charleston, WV) and Signify Health Medical Associates, PLLC (Dallas, TX). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Tracie Bonner's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Tracie Bonner accept?

Health plans from CareSource, CareSource (Common Ground Healthcare) 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 2 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.