ILIANA BERENICE BONILLA CANAS DNP, FNP, AGACNP
NPI 1720849474
Nurse Practitioner - Family in Little Rock, AR

Q: What is Iliana Bonilla Canas's NPI number?

The NPI number for Iliana Bonilla Canas is 1720849474. It was assigned to this individual provider in the NPPES registry on January 19, 2024.

Q: What is Iliana Bonilla Canas's specialty?

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

Active since January 19, 2024PECOS Enrolled

9600 BAPTIST HEALTH DR STE 320, LITTLE ROCK, AR 72205(501) 227-0421 Get Directions Write a Review

NPPES record last updated: June 3, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jun 3, 2026, Mar 10, 2026 (2 updates tracked since 2026).

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About Iliana Berenice Bonilla Canas Dnp, Fnp, Agacnp NPPES

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

ILIANA BERENICE BONILLA CANAS DNP, FNP, AGACNP (NPI 1720849474) is an individual family provider in Little Rock, Arkansas, licensed in Arkansas (226558) and active in the NPI registry since January 2024. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1720849474

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameILIANA BERENICE BONILLA CANASCredential: DNP, FNP, AGACNP

Location Address9600 BAPTIST HEALTH DR STE 320Little Rock, AR 72205-6322

Mailing Address11001 Executive Center Dr Ste 200Little Rock, AR 72211-4393 · (501) 227-0421 · Fax (501) 227-0105

Phone(501) 227-0421

Sole ProprietorNo

Enumeration DateJanuary 19, 2024

Last NPPES UpdateJune 3, 20262 updates tracked since enumeration

NPPES CertifiedJune 3, 2026

✔ NPI 1720849474 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 AR · 226558

Also ListedNurse Practitioner · Acute CareTaxonomy 363LA2100X · License 226558 (AR)

9600 BAPTIST HEALTH DR STE 320, Little Rock, AR 72205

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Iliana Berenice Bonilla Canas Dnp, Fnp, Agacnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Reassignment

Medicare enrollment records show Iliana Bonilla Canas reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Arkansas Health Group

Same address

Neurology

9600 BAPTIST HEALTH DR STE 320
Little Rock, AR 72205

Reassigned Medicare billing, Arkansas enrollment
34 clinicians in this Medicare group

NPI 1033471453 (501) 227-0421

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 72205 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

$79.72 typical visit price

range $51.36 – $157.74

Typical copayment $19.93 (range $12.84 – $39.43)

Most-billed visit code 99203

Established Patient

$91.63 typical visit price

range $16.16 – $128.77

Typical copayment $22.90 (range $4.04 – $32.19)

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.

Other Providers at the Same Location NPPES 10

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

ARKANSAS HEALTH GROUP

Psychiatry & Neurology (Neurology)