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

Michael P Bongiorno, NP

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1437475753

Michael P Bongiorno, NP is a Nurse Practitioner in Kingman, Arizona. Qualified in 2020, 6 years ago. Practices with Jbutlermdphd PLLC, a 10-clinician group, works from 3 locations, accepts Medicare assignment and offers telehealth. Licensed in Arizona, Indiana and Ohio.

Years since qualifying
6
Licensed in
AZ, IN, OH
In the registry since
2010
Specialties on file
4
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

See every abbreviation used in this directory →

Practice location Address checks out

1741 Sycamore Ave
Kingman, AZ 86409-0927
Phone: (928) 757-8111
Show map & directions

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

Additional practice locations (2)

  • 683 Oriole Dr, Eastlake, OH 44095-1609 — (440) 487-6475
  • 7808 Clodus Fields Dr, Dallas, TX 75251-2206 — (972) 991-9504

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence AP246670 (AZ)
Psychiatric/Mental Health Nurse Practitioner Taxonomy 363LP0808X · Licence 0027525 (OH)
Licensed Practical Nurse Taxonomy 164W00000X · Licence PN.135636-M-IV (OH)
Psychiatric/Mental Health Nurse Practitioner Taxonomy 363LP0808X · Licence 71016143A (IN)

Record details

NPI number1437475753
Entity typeIndividual (Type 1)
GenderMale
Credentials NP
Sole proprietorNo
NPI enumeratedApril 12, 2010
Last updated in NPPESMay 10, 2026
Certification dateMay 10, 2026

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Jbutlermdphd Pllc — 10 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations4 on file with Medicare

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