MARY BONVISSUTO (APRN) – Primary Care Nurse Practitioner, NPI 1316713480
Primary Care Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
8,307 NURSE PRACTITIONER in VA
Provider Addresses for MARY BONVISSUTO (APRN)
2805 9TH ST S APT 61A
ARLINGTON, VA 222042335
Phone: (301) 802-2450
Type: Mailing
11484 WASHINGTON PLZ W STE 300
RESTON, VA 201904342
Phone: (703) 443-2000
Type: Location
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 $42.
Total Amount is formed as General ($42) + Research ($0) + Ownership ($0) = $42.
Last reported payment date: 2024-11-20 • Largest payer in this snapshot: Exact Sciences Corporation ($22).
Total Amount
$42
General + Research + Ownership
Payments
2
Total payment records
General Amount
$42
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-20
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Exact Sciences Corporation | $22 |
| Medtronic, Inc. | $20 |
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: 2026-03-06
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 3 Medicare enrollment records; no due dates published yet.
Enrollment records
3
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 |
|---|---|---|---|---|
| I20250106002995 | I | Nurse Practitioner | DC | TBD |
| I20250124001969 | I | Nurse Practitioner | VA | TBD |
| I20260306001024 | I | Nurse Practitioner | TN | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 22204)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice | MD | |
| Internal Medicine | MD | |
| Hospitalist, Internal Medicine, Internal Medicine | MO | |
| - | VA | |
| Family Practice | DC | |
| Physician Assistant | MD | |
| Family Practice | MO | |
| Family Practice | MD | |
| Physician Assistant | MD | |
| Physician Assistant | VA |
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