Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mary Bonvissuto, APRN

Individual provider Primary Care Nurse Practitioner · NPI 1316713480

Mary Bonvissuto, APRN is a Nurse Practitioner in Reston, Virginia. Qualified in 2021, 5 years ago. Practices with Capital Healthcare PC, a 102-clinician group and accepts Medicare assignment. Licensed in Virginia.

Years since qualifying
5
Licensed in
VA
In the registry since
2023
What do these letters mean?
APRN — Advanced Practice Registered Nurse
The umbrella licence covering nurse practitioners, midwives, anaesthetists and clinical nurse specialists.

See every abbreviation used in this directory →

Practice location Address checks out

11484 Washington Plz W Ste 300
Reston, VA 20190-4342
Phone: (703) 443-2000
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Primary Care Nurse Practitioner (primary) Taxonomy 363LP2300X · Licence 0024188379 (VA)

Record details

NPI number1316713480
Entity typeIndividual (Type 1)
GenderFemale
Credentials APRN
Sole proprietorNo
NPI enumeratedNovember 30, 2023
Last updated in NPPESNovember 30, 2023
Certification dateNovember 16, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Capital Healthcare Pc — 102 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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