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

Neleen Tibayan Bonilla, CRNP

Individual provider Nurse Practitioner · NPI 1760879738

Neleen Tibayan Bonilla, CRNP is a Nurse Practitioner in Baltimore, Maryland. Qualified in 2014, 12 years ago. Practices with Alliance Specialty Partners LLC, a 5-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Maryland.

Years since qualifying
12
Licensed in
MD
In the registry since
2015
What do these letters mean?
CRNP — Certified Registered Nurse Practitioner
The title Pennsylvania and some other states use for a nurse practitioner.

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Practice location Address checks out

900 Caton Avenue Mailbox 009
Baltimore, MD 21229
Phone: (667) 234-8912
Fax: (667) 234-3556
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence R177132 (MD)

Record details

NPI number1760879738
Entity typeIndividual (Type 1)
GenderFemale
Credentials CRNP
Sole proprietorYes
NPI enumeratedApril 17, 2015
Last updated in NPPESDecember 23, 2024

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Alliance Specialty Partners Llc — 5 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations3 on file with Medicare

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