NICOLE BONENBERGER PA-C
NPI 1851180590
Physician Assistant in Colonial Heights, VA

Q: What is Nicole Bonenberger's NPI number?

The NPI number for Nicole Bonenberger is 1851180590. It was assigned to this individual provider in the NPPES registry on April 30, 2025.

Q: What is Nicole Bonenberger's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Active since April 30, 2025PECOS EnrolledAccepts Medicare Assignment

131 JENNICK DR, COLONIAL HEIGHTS, VA 23834(804) 526-5888 Get Directions Write a Review

NPPES record last updated: April 30, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Nicole Bonenberger Pa-c NPPES

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

NICOLE BONENBERGER PA-C (NPI 1851180590) is an individual physician assistant in Colonial Heights, Virginia, licensed in Virginia (0110010796) and active in the NPI registry since April 2025. She is enrolled in Medicare PECOS, is affiliated with John Randolph Medical Center, and is a graduate of Other (2024).

NPPES Registry Identity

NPI1851180590

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameNICOLE BONENBERGERCredential: PA-C

Location Address131 JENNICK DRColonial Heights, VA 23834-4905

Mailing Address2706 Scarsborough DrRichmond, VA 23235-2244

Phone(804) 526-5888

Sole ProprietorNo

Medical School CMSOtherGraduated 2024

Enumeration DateApril 30, 2025

NPPES CertifiedApril 30, 2025

✔ NPI 1851180590 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in VA · 0110010796

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

131 JENNICK DR, Colonial Heights, VA 23834

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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

Nicole Bonenberger Pa-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 ID4688172026

PECOS Enrollment IDI20250813003718

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.

Hospital Affiliations CMS Care Compare 3

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

John Randolph Medical Center

Acute Care Hospitals · Hopewell, VA

3/5 CMS rating

OwnershipProprietary

CMS Certification Number490020

Location411 West Randolph RoadHopewell, VA 23860 · Hopewell City County

Emergency services

Medical College Of Virginia Hospitals

Acute Care Hospitals · Richmond, VA

4/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number490032

LocationPost Office Box 980510 1250 East Marshall StreetRichmond, VA 23298 · Richmond City County

Emergency services Birthing friendly

Henrico Doctors' Hospital

Acute Care Hospitals · Richmond, VA

4/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number490118

Location1602 Skipwith RoadRichmond, VA 23229 · Henrico County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 23834 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

$86.88 typical visit price

range $56.19 – $170.30

Typical copayment $21.72 (range $14.04 – $42.57)

Most-billed visit code 99203

Established Patient

$70.08 typical visit price

range $18.07 – $138.91

Typical copayment $17.52 (range $4.51 – $34.72)

Most-billed visit code 99213

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 13

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

MRS. MEGAN SINCLAIR HARVEY FNP-C

Nurse Practitioner (Family)