ANDREA A BONANNO – Family Nurse Practitioner, NPI 1235305061
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for ANDREA A BONANNO
9409B OLD BURKE LAKE RD
BURKE, VA 220153127
Phone: (703) 978-4200
Type: Location
1420 AUSTIN BLUFFS PKWY
COLORADO SPRINGS, CO 809183735
Phone: (719) 255-4444
Fax: (719) 255-4446
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
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: 2015-07-15
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 |
|---|---|---|---|---|
| I20140703001191 | I | Nurse Practitioner | DC | TBD |
| I20150715001078 | I | Nurse Practitioner | VA | 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 |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 151 | 96 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 97 | 62 | $0 |
| 36415 | Insertion of needle into vein for collection of blood sample | 85 | 61 | $0 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 55 | 55 | $0 |
| 99212 | Established patient office or other outpatient visit, 10-19 minutes | 13 | 13 | $0 |
Insurance plans in this area (ZIP 22015)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | VA | |
| - | VA | |
| Internal Medicine, Pulmonary Disease | MD | |
| - | VA | |
| - | MD | |
| - | VA | |
| - | VA | |
| - | MD | |
| Physician Assistant | VA | |
| Physician Assistant | MI |
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