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

Mrs. Bonnie Marie Lively, APRN-CRNA

Individual provider Certified Registered Nurse Anesthetist · NPI 1184700841

Mrs. Bonnie Marie Lively, APRN-CRNA is a Certified Registered Nurse Anesthetist (CRNA) in Charleston, West Virginia. Qualified in 2004, 22 years ago. Practices with Charleston Area Medical Center Inc, a 968-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in West Virginia.

Years since qualifying
22
Licensed in
WV
In the registry since
2006
Claim this listing Report a problem Suggest an edit

Practice location Address checks out

501 Morris St
Charleston, WV 25301-1326
Phone: (304) 388-6220
Fax: (304) 388-3604
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Additional practice locations (2)

  • 1201 Washington St E, Charleston, WV 25301-1834 — (304) 388-1800
  • 3200 Maccorkle Ave Se, Charleston, WV 25304-1227 — (304) 388-5503

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence APRN56320 (WV)

Record details

NPI number1184700841
Entity typeIndividual (Type 1)
GenderFemale
Credentials APRN-CRNA
Sole proprietorNo
NPI enumeratedOctober 27, 2006
Last updated in NPPESJune 27, 2019

Medicare enrollment

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

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2004 (22 years in practice)
Group practice Charleston Area Medical Center Inc — 968 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Charleston