SAMANTHA BONILLA (APRN) – Adult Health Nurse Practitioner, NPI 1174978175
Adult Health Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for SAMANTHA BONILLA (APRN)
2424 Manatee Ave W Ste 210
Bradenton, FL 342054954
Phone: (813) 591-4570
Fax: (813) 441-6116
Type: Location
162 W Robertson St
Brandon, FL 335115112
Phone: (813) 591-4570
Fax: (813) 441-6116
Type: Location
Altamonte Springs, 2741 South, Ronald Reagan Boulevard, Altamonte Springs, Seminole County, Florida, 32701, United States
ALTAMONTE SPRINGS, FL 327015102
Phone: (407) 303-5191
Fax: (407) 303-5193
Type: Mailing
4915 EHRLICH RD
TAMPA, FL 336242038
Phone: (813) 591-4570
Fax: (813) 591-4570
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 2 Open Payments records for all available years, with a total value of $56.
Total Amount is formed as General ($56) + Research ($0) + Ownership ($0) = $56.
Last reported payment date: 2024-08-17 • Largest payer in this snapshot: Boston Scientific Corporation ($35).
Total Amount
$56
General + Research + Ownership
Payments
2
Total payment records
General Amount
$56
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-08-17
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Boston Scientific Corporation | $35 |
| Medical Device Business Services, Inc. | $21 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2016-10-03
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20161003002541 | I | Nurse Practitioner | FL | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 167 | 167 | $0 |
| G0442 | Annual alcohol misuse screening, 5 to 15 minutes | 166 | 166 | $0 |
| G0444 | Annual depression screening, 5 to 15 minutes | 143 | 143 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 71 | 61 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 19 | 17 | $0 |
Insurance plans in this area (ZIP 34205)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | FL | |
| N E U R O L O G Y | FL | |
| General Surgery | FL | |
| Cardiovascular Disease (Cardiology), Internal Medicine, Interventional Cardiology | FL | |
| Nurse Practitioner | FL | |
| O B S T E T R I C S/ G Y N E C O L O G Y | FL | |
| General Surgery | FL | |
| Pulmonary Disease, Critical Care (Intensivists) | FL | |
| O B S T E T R I C S/ G Y N E C O L O G Y | MI | |
| Physician Assistant | FL |
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