MARY T. BONACCORSI APRN, DNP, FNP
NPI 1811927205
Nurse Practitioner - Psychiatric/Mental Health in Janesville, WI

Active since July 03, 2006PECOS EnrolledAccepts Medicare Assignment
903 MINERAL POINT AVE, JANESVILLE, WI 53548(608) 756-5555(608) 756-0174 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 21, 2022, Jun 14, 2017 (2 updates tracked since 2017).

About Mary T. Bonaccorsi Aprn, Dnp, Fnp NPPES

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

MARY T. BONACCORSI APRN, DNP, FNP (NPI 1811927205) is an individual psychiatric/mental health provider in Janesville, Wisconsin, licensed in Wisconsin (2628-33) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS and is a graduate of Rush Medical College Of Rush University (2001).

NPPES Registry Identity

NPI1811927205
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameMARY T. BONACCORSICredential: APRN, DNP, FNP
Location Address903 MINERAL POINT AVEJanesville, WI 53548-2970
Mailing Address903 Mineral Point AveJanesville, WI 53548-2970 · (608) 756-5555 · Fax (608) 756-0174
Fax(608) 756-0174
Sole ProprietorNo
Medical School CMSRush Medical College Of Rush UniversityGraduated 2001
Enumeration DateJuly 3, 2006
Last NPPES UpdateJuly 21, 20222 updates tracked since enumeration
NPI 1811927205 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License Licensed in WI · 2628-33
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License 209004213 (IL), 2628-033 (WI)
903 MINERAL POINT AVE, Janesville, WI 53548

Other Identifiers 7

Other000084908-K400332994WI · Wi Medicare
Other000054176-K400333954WI · Wi Medicare
Other406120105Ptan
Medicaid041305302IL
Medicaid1811927205WI
OtherBONACMARWI · Mercycare Insurance
Other1811927205WI · Bcbswi

Accepted Insurance

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

Mary T. Bonaccorsi Aprn, Dnp, 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 ID4587668660
PECOS Enrollment IDI20060901000098
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.

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.
59 services18 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53548 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
$82.92 typical visit price
range $53.90 – $163.24
Typical copayment $20.73 (range $13.47 – $40.81)
Most-billed visit code 99203
Established Patient
$95.41 typical visit price
range $17.40 – $133.76
Typical copayment $23.85 (range $4.35 – $33.44)
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.

Counselor (Professional)
903 MINERAL POINT AVE
JANESVILLE, WI 53548
Social Worker (Clinical)
903 MINERAL POINT AVE
JANESVILLE, WI 53548
Counselor (Professional)
903 MINERAL POINT AVE
JANESVILLE, WI 53548
Psychologist (Clinical)
903 MINERAL POINT AVE
JANESVILLE, WI 53548
Counselor (Professional)
903 MINERAL POINT AVE
JANESVILLE, WI 53548
Counselor (Professional)
903 MINERAL POINT AVE
JANESVILLE, WI 53548
Psychologist (Clinical)
903 MINERAL POINT AVE
JANESVILLE, WI 53548
Social Worker (Clinical)
903 MINERAL POINT AVE
JANESVILLE, WI 53548

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 Mary Bonaccorsi's NPI number?

The NPI number for Mary Bonaccorsi is 1811927205. It was assigned to this individual provider in the NPPES registry on July 3, 2006.

Where is Mary Bonaccorsi located?

Mary Bonaccorsi practices at 903 Mineral Point Ave, Janesville, WI 53548. The listed phone number is (608) 756-5555.

What is Mary Bonaccorsi's specialty?

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

Is Mary Bonaccorsi enrolled in Medicare?

Yes. Mary Bonaccorsi 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.

What insurance does Mary Bonaccorsi accept?

Health plans from Medica list Mary Bonaccorsi 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.

When was this NPI record last updated?

The NPPES record for Mary Bonaccorsi was last updated on July 21, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.