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

Mr. Bonaventure Mbella

Individual provider Registered Nurse · NPI 1548818750

Mr. Bonaventure Mbella is a Nurse Practitioner in Bowie, Maryland. Qualified in 2020, 6 years ago. Practices with House Calls of the District of Columbia Inc, a 4-clinician group, works from 3 locations, accepts Medicare assignment and offers telehealth. Licensed in District of Columbia and Maryland.

Years since qualifying
6
Licensed in
DC, MD
In the registry since
2019
Specialties on file
6
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Practice location Address checks out

12513 Woodsong Ln
Bowie, MD 20721-4225
Phone: (256) 417-7067
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 501 School St Sw, Washington, DC 20024-2754 — (703) 752-8700
  • 9811 Mallard Dr Ste 207, Laurel, MD 20708-3199 — (256) 417-7067

Specialties & licences

Gerontology Nurse Practitioner (primary) Taxonomy 363LG0600X · Licence R196090 (MD)
Registered Nurse Taxonomy 163W00000X · Licence RN1019745 (DC)
Nurse Practitioner Taxonomy 363L00000X · Licence R196090 (MD)
Adult Health Nurse Practitioner Taxonomy 363LA2200X · Licence R196090 (MD)
Adult Health Nurse Practitioner Taxonomy 363LA2200X · Licence NP1019745 (DC)
Gerontology Nurse Practitioner Taxonomy 363LG0600X · Licence NP1019745 (DC)

Record details

NPI number1548818750
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedAugust 30, 2019
Last updated in NPPESMay 13, 2025
Certification dateMay 13, 2025

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 House Calls Of The District Of Columbia Inc — 4 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Bowie