JESSA BONAVIA APRN, PMHNP-BC
NPI 1780365205
Nurse Practitioner - Psychiatric/Mental Health in Daytona Beach, FL

Q: What is Jessa Bonavia's NPI number?

The NPI number for Jessa Bonavia is 1780365205. It was assigned to this individual provider in the NPPES registry on July 27, 2023.

Q: What is Jessa Bonavia's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Q: When was this NPI record last updated?

The NPPES record for Jessa Bonavia was last updated on August 23, 2023. 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.

Active since July 27, 2023PECOS EnrolledAccepts Medicare Assignment

1220 WILLIS AVE, DAYTONA BEACH, FL 32114(800) 539-4228 Get Directions Write a Review

NPPES record last updated: August 23, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 23, 2023, Aug 17, 2023, Jul 27, 2023 (3 updates tracked since 2023).

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About Jessa Bonavia Aprn, Pmhnp-bc NPPES

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

JESSA BONAVIA APRN, PMHNP-BC (NPI 1780365205) is an individual psychiatric/mental health provider in Daytona Beach, Florida, licensed in Florida (APRN11027499) and active in the NPI registry since July 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1780365205

Entity TypeIndividualFemale

Primary Taxonomy363LP0808X

Provider Legal NameJESSA BONAVIACredential: APRN, PMHNP-BC

Location Address1220 WILLIS AVEDaytona Beach, FL 32114-2810

Mailing Address150 Magnolia AveDaytona Beach, FL 32114-4304 · (386) 236-3225

Phone(800) 539-4228

Sole ProprietorNo

Medical School CMSOtherGraduated 2023

Enumeration DateJuly 27, 2023

Last NPPES UpdateAugust 23, 20233 updates tracked since enumeration

NPPES CertifiedAugust 23, 2023

✔ NPI 1780365205 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

License✔ Licensed in FL · APRN11027499

1220 WILLIS AVE, Daytona Beach, FL 32114

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company).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

Jessa Bonavia Aprn, Pmhnp-bc 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 ID4486008786

PECOS Enrollment IDI20230920001805

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 Jessa Bonavia reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Sma Healthcare Inc

Same address

Mental Health (Including Community Mental Health Center)

1220 WILLIS AVE
Daytona Beach, FL 32114

Reassigned Medicare billing, Florida enrollment
114 clinicians in this Medicare group

NPI 1356329163 (386) 236-3225

Dr Luisa Vega Dnp LLC

37 mi

Nurse Practitioner

525 TECHNOLOGY PARK STE 109
Lake Mary, FL 32746

Reassigned Medicare billing, Florida enrollment
119 clinicians in this Medicare group

NPI 1497123319 (407) 647-2346

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 5

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.

Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309

A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.

290 services162 patients

Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308

A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.

215 services149 patients

Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes 99305

An initial nursing facility visit per day is a service where a healthcare professional spends about 35 minutes assessing a patient's health status. This includes reviewing medical history, conducting a physical exam, and developing a care plan based on the patient's needs.

89 services86 patients

Initial nursing facility care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99304

An initial nursing facility visit is a daily check-up to monitor your health status. This service, lasting typically 25 minutes, involves a nurse assessing your overall wellbeing, discussing concerns, and updating your care plan as needed.

40 services40 patients

Evaluation of psychological test, first hour 96130

This procedure involves a professional assessing your mental health using standardized tests. It's the initial hour of a process that helps understand your emotional well-being and cognitive abilities. It's completely non-invasive and confidential.

17 services17 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32114 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

$87.62 typical visit price

range $56.00 – $171.84

Typical copayment $21.90 (range $14.00 – $42.96)

Most-billed visit code 99203

Established Patient

$99.16 typical visit price

range $17.57 – $139.16

Typical copayment $24.79 (range $4.39 – $34.79)

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 20

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

MARLA MATTOX RN

Registered Nurse (Psychiatric/Mental Health, Adult)