PHYLICIA JOANNE BONAVIDA NP-C
NPI 1710456439
Nurse Practitioner - Family in Princeton, ME

Active since November 26, 2018PECOS EnrolledAccepts Medicare Assignment
136 MILL ST, PRINCETON, ME 04668(207) 796-5503 Get Directions Write a Review

NPPES record last updated: December 6, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 6, 2022, Dec 3, 2022, Nov 26, 2018 (3 updates tracked since 2018).

About Phylicia Joanne Bonavida Np-c NPPES

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

PHYLICIA JOANNE BONAVIDA NP-C (NPI 1710456439) is an individual family provider in Princeton, Maine, licensed in Maine (CNP181262) and active in the NPI registry since November 2018. She is enrolled in Medicare PECOS, is affiliated with Northern Light Eastern Maine Medical Center, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1710456439
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NamePHYLICIA JOANNE BONAVIDACredential: NP-C
Location Address136 MILL STPrinceton, ME 04668-3344
Mailing Address136 Mill StPrinceton, ME 04668-3344 · (207) 297-5503
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateNovember 26, 2018
Last NPPES UpdateDecember 6, 20223 updates tracked since enumeration
NPPES CertifiedDecember 3, 2022
NPI 1710456439 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 ME · CNP181262
136 MILL ST, Princeton, ME 04668

Secondary Practice Locations 2

Location 135 Blue Devil HillCalais, ME 04619 · Phone (207) 796-5503 · Fax (207) 796-5528
Location 25 Lowell St Ste 4Calais, ME 04619-1712 · Phone (207) 796-5503 · Fax (207) 796-5528

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

Phylicia Joanne Bonavida Np-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 ID4183960081
PECOS Enrollment IDI20190115000485, I20250916000368
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

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.

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.
39 services14 patients

Hospital Affiliations CMS Care Compare 3

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

Northern Light Eastern Maine Medical Center

Acute Care Hospitals · Bangor, ME
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number200033
Location489 State StreetBangor, ME 04401 · Penobscot County
Emergency services Birthing friendly

Calais Community Hospital

Critical Access Hospitals · Calais, ME
OwnershipVoluntary non-profit - Private
CMS Certification Number201305
Location24 Hospital LaneCalais, ME 04619 · Washington County
Emergency services

Down East Community Hospital

Critical Access Hospitals · Machias, ME
OwnershipVoluntary non-profit - Private
CMS Certification Number201311
Location11 Hospital DriveMachias, ME 04654 · Washington County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 04668 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
$82.58 typical visit price
range $53.26 – $162.77
Typical copayment $20.64 (range $13.31 – $40.69)
Most-billed visit code 99203
Established Patient
$94.60 typical visit price
range $16.90 – $132.79
Typical copayment $23.65 (range $4.22 – $33.19)
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.

Referred Medical Equipment & Supplies CMS DME claims 5

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

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
1 supplier35 claims36 services$19.50 avg. paid by Medicare
Continuous positive airway pressure (cpap) device E0601
DME-Other DME · category DE001N
1 supplier20 claims20 services$50.48 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
1 supplier35 claims36 services$112.07 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 supplier14 claims14 services$184.46 avg. paid by Medicare
Pharmacy dispensing fee for inhalation drug(s); per 30 days Q0513
DME-Other DME · category DE000N
3 suppliers17 claims17 services$21.55 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.

Nurse Practitioner (Psychiatric/Mental Health)
136 MILL ST
PRINCETON, ME 04668
Social Worker (Clinical)
136 MILL ST
PRINCETON, ME 04668
Nurse Practitioner (Family)
136 MILL ST
PRINCETON, ME 04668
Registered Nurse (Psychiatric/Mental Health, Child & Adolescent)
136 MILL ST
PRINCETON, ME 04668
Psychiatry & Neurology (Psychiatry)
136 MILL ST
PRINCETON, ME 04668
Licensed Practical Nurse
136 MILL ST
PRINCETON, ME 04668
Psychologist (Clinical)
136 MILL ST
PRINCETON, ME 04668
Nurse Practitioner (Family)
136 MILL ST
PRINCETON, ME 04668

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 Phylicia Bonavida's NPI number?

The NPI number for Phylicia Bonavida is 1710456439. It was assigned to this individual provider in the NPPES registry on November 26, 2018.

Where is Phylicia Bonavida located?

Phylicia Bonavida practices at 136 Mill St, Princeton, ME 04668. The listed phone number is (207) 796-5503.

What is Phylicia Bonavida's specialty?

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

Is Phylicia Bonavida enrolled in Medicare?

Yes. Phylicia Bonavida 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.

Is Phylicia Bonavida affiliated with any hospitals?

According to CMS data, Phylicia Bonavida is affiliated with Northern Light Eastern Maine Medical Center, Calais Community Hospital and Down East Community Hospital.

When was this NPI record last updated?

The NPPES record for Phylicia Bonavida was last updated on December 6, 2022. 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.