Todd Ryan Bomar, PMHNP-BC - Medicare Nurse Practitioner in Kingsport, TN

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Todd Ryan Bomar, PMHNP-BC is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Kingsport, Tennessee. He graduated from nursing school in 2020 and has 6 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Arcare and his current practice location is 1570 Waverly Rd, Kingsport, Tennessee. You can reach out to his office (for appointments etc.) via phone at (423) 224-1300.

Todd Ryan Bomar is licensed to practice in Virginia (license number 0024182774) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1336730084.

Contact Information

Todd Ryan Bomar, PMHNP-BC
1570 Waverly Rd,
Kingsport, TN 37664-2523
(423) 224-1300
(423) 467-3644

Map and Direction




Provider's Profile

Full NameTodd Ryan Bomar
GenderMale
SpecialityNurse Practitioner
Experience6 Years
Location1570 Waverly Rd, Kingsport, Tennessee
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Todd Ryan Bomar graduated from nursing school in 2020
  NPI Data:
  • NPI Number: 1336730084
  • Provider Enumeration Date: 01/26/2021
  • Last Update Date: 04/20/2026
  Medicare PECOS Information:
  • PECOS PAC ID: 2769899012
  • Enrollment ID: I20260406001477

Medical Identifiers

Medical identifiers for Todd Ryan Bomar such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1336730084NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LP0808XNurse Practitioner - Psychiatric/mental Health 29138 (Tennessee)Secondary
363LP0808XNurse Practitioner - Psychiatric/mental Health 11011297 (Florida)Secondary
363LP0808XNurse Practitioner - Psychiatric/mental Health 0024182774 (Virginia)Primary
363LP0808XNurse Practitioner - Psychiatric/mental Health 236371 (Arkansas)Secondary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Arcare2567370620249

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Todd Ryan Bomar allows following entities to bill medicare on his behalf.
Entity NameArcare
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1275635542
PECOS PAC ID: 2567370620
Enrollment ID: O20031206000059

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Todd Ryan Bomar is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Todd Ryan Bomar, PMHNP-BC
3022 Vanderbilt Pl,
Nashville, TN 37212-2500

Ph: (615) 393-3792		Todd Ryan Bomar, PMHNP-BC
1570 Waverly Rd,
Kingsport, TN 37664-2523

Ph: (423) 224-1300

Reviews and Comments


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Phone: 423-224-3628    Fax: 423-224-3629
Patrina Nicolyn Cradic, FNP-C
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Amanda M Malone, MSN, FNP-BC
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Phone: 423-239-7300    Fax: 423-239-7607

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.