PHYLICIA JOANNE BONAVIDA (NP-C) – Family Nurse Practitioner, NPI 1710456439
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,869 NURSE PRACTITIONER in ME
Provider Addresses for PHYLICIA JOANNE BONAVIDA (NP-C)
5 Lowell St Ste 4
Calais, ME 046191712
Phone: (207) 796-5503
Fax: (207) 796-5528
Type: Location
35 Blue Devil Hill
Calais, ME 04619
Phone: (207) 796-5503
Fax: (207) 796-5528
Type: Location
136, Mill Street, Princeton, Washington County, Maine, 04668, United States
PRINCETON, ME 046683344
Phone: (207) 796-5503
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 52 Open Payments records for all available years, with a total value of $955.
Total Amount is formed as General ($955) + Research ($0) + Ownership ($0) = $955.
Last reported payment date: 2024-12-16 • Largest payer in this snapshot: Lundbeck LLC ($276).
Total Amount
$955
General + Research + Ownership
Payments
52
Total payment records
General Amount
$955
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-16
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Lundbeck LLC | $276 |
| PFIZER INC. | $150 |
| AstraZeneca Pharmaceuticals LP | $68 |
| Novo Nordisk Inc | $67 |
| GlaxoSmithKline, LLC. | $60 |
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: 2025-09-16
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20190115000485 | I | Nurse Practitioner | ME | TBD |
| I20250916000368 | I | Nurse Practitioner | TX | 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 |
|---|---|---|---|---|
| 83036 | Hemoglobin a1c level | 41 | 18 | $0 |
Insurance plans in this area (ZIP 04619)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | ME | |
| Clinical Social Worker | CT | |
| Nuclear Medicine, General Practice | VT | |
| Nurse Practitioner | ME | |
| P S Y C H I A T R Y | ME | |
| Clinical Social Worker | TX | |
| Nurse Practitioner | ME | |
| Nurse Practitioner | ME | |
| O P T O M E T R Y | ME | |
| Clinical Social Worker | ME |
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