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NELEEN TIBAYAN BONILLA CRNP
NPI 1760879738
Nurse Practitioner in Baltimore, MD

Active since April 17, 2015PECOS EnrolledAccepts Medicare Assignment
72.86/100
CMS Quality Rating
900 CATON AVENUE, MAILBOX 009, BALTIMORE, MD 21229(667) 234-8912(667) 234-3556 Get Directions Write a Review

NPPES record last updated: December 23, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Neleen Tibayan Bonilla Crnp NPPES

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

NELEEN TIBAYAN BONILLA CRNP (NPI 1760879738) is an individual nurse practitioner in Baltimore, Maryland, licensed in Maryland (R177132) and active in the NPI registry since April 2015. She is enrolled in Medicare PECOS, is affiliated with Saint Agnes Hospital, and is a graduate of Other (2014).

NPPES Registry Identity

NPI1760879738
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameNELEEN TIBAYAN BONILLACredential: CRNP
Location Address900 CATON AVENUE, MAILBOX 009Baltimore, MD 21229
Mailing Address900 Caton Avenue, Mailbox 009Baltimore, MD 21229 · (667) 234-8912 · Fax (667) 234-3556
Phone(667) 234-8912
Fax(667) 234-3556
Sole ProprietorYes
Medical School CMSOtherGraduated 2014
Enumeration DateApril 17, 2015
Last NPPES UpdateDecember 23, 2024
✔ NPI 1760879738 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in MD · R177132
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
900 CATON AVENUE, MAILBOX 009, Baltimore, MD 21229
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Other Names 1

Former Name (1)Neleen Bonilla Orsal

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

Neleen Tibayan Bonilla Crnp 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 ID143538488
PECOS Enrollment IDI20151006001412, I20260529000633
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 7

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.

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.
272 services140 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
62 services46 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.
44 services33 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.
24 services24 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.
21 services21 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
17 services17 patients

Hospital Affiliations CMS Care Compare

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

Saint Agnes Hospital

Acute Care Hospitals · Baltimore, MD
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number210011
Location900 Caton AvenueBaltimore, MD 21229 · Baltimore City County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 21229 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
$94.08 typical visit price
range $60.73 – $183.44
Typical copayment $23.52 (range $15.18 – $45.86)
Most-billed visit code 99203
Established Patient
$106.59 typical visit price
range $19.60 – $149.17
Typical copayment $26.64 (range $4.90 – $37.29)
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.

72.86/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality60.18
Promoting Interoperability95
Improvement Activities40
Cost48.84

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 Neleen Bonilla's NPI number?

The NPI number for Neleen Bonilla is 1760879738. It was assigned to this individual provider in the NPPES registry on April 17, 2015. The provider is also known as Neleen Bonilla Orsal.

Where is Neleen Bonilla located?

Neleen Bonilla practices at 900 Caton Avenue, Mailbox 009, Baltimore, MD 21229. The listed phone number is (667) 234-8912.

What is Neleen Bonilla's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Neleen Bonilla enrolled in Medicare?

Yes. Neleen Bonilla 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 Neleen Bonilla affiliated with any hospitals?

According to CMS data, Neleen Bonilla is affiliated with Saint Agnes Hospital.

When was this NPI record last updated?

The NPPES record for Neleen Bonilla was last updated on December 23, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.