Active NPI 1275774440 Individual Practitioner Male Practitioner

Jonathan Rene Broniste , APN

Nurse Practitioner • Lavaca, AR

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Jonathan Broniste, APN is a certified Nurse Practitioner practicing in Lavaca, AR. With approximately 18 years of clinical experience since completing medical education in 2008, Jonathan Broniste delivers high-quality medical care to the local community at 603 S DIVISION ST.

Jonathan Broniste maintains professional affiliations with River Valley Primary Care Services, Fands Physical Therapy, Inc and accepts Medicare assignment.

Frequently performed procedures and clinical services include insertion of needle into vein for collection of blood sample, residence visit for established patient with moderate level of medical decision making, per day, if using time, at least, hemoglobin a1c level. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

603 S Division St

Lavaca, AR 729414129

Telephone 4796749181

Fax 4796748105

Associated Practice Facility / Clinic

🏢 Lavaca Wellness Clinic, P.a. Facility NPI 1821390287

Medicare Profile & Education

Medical School

Other

Graduation Year

2008

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Lavaca, AR

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

18 Yrs Matches City Avg

City Avg: 18.0 Yrs

State Avg: 11.2 Yrs

Regional Practice Density

1 Specialists

Practicing in Lavaca, AR (702 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

51.7% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Broniste (18 Years) 18 Yrs

Lavaca Specialty Average (18.0 Years) 18.0 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
36415 Insertion of needle into vein for collection of blood sample	140	90	$24.91	$8.65
99349 Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes	71	26	$184.50	$98.75
83036 Hemoglobin A1C level	36	24	$25.00	$9.52
81003 Automated urinalysis test	30	22	$12.00	$2.20

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99349 Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes	110	42	$184.50	$100.01
36415 Insertion of needle into vein for collection of blood sample	108	81	$24.76	$8.40
81003 Automated urinalysis test	41	23	$12.00	$2.20
83036 Hemoglobin A1C level	39	29	$25.00	$9.52
99344 New patient home visit, typically 1 hour	13	13	$263.90	$113.14
82570 Creatinine level to test for kidney function or muscle injury	11	11	$15.00	$5.08
82044 Urine microalbumin (protein) analysis	11	11	$15.00	$6.11

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99349 Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes	171	55	$184.50	$100.15
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	41	41	$163.92	$101.87
83036 Hemoglobin A1C level	39	27	$25.00	$9.62
81003 Automated urinalysis test	33	25	$12.00	$2.22
G0179 Physician re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imp	23	11	$59.17	$31.05
99344 New patient home visit, typically 1 hour	21	21	$263.90	$141.42
80061 Blood test, lipids (cholesterol and triglycerides)	17	17	$35.00	$13.23
82570 Creatinine level to test for kidney function or muscle injury	11	11	$15.00	$5.14
82044 Urine microalbumin (protein) analysis	11	11	$15.00	$6.19

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99349 Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes	196	64	$184.50	$101.82
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	44	44	$163.92	$103.45
83036 Hemoglobin A1C level	42	28	$25.00	$9.71
81003 Automated urinalysis test	32	22	$12.00	$2.25
99344 New patient home visit, typically 1 hour	24	24	$263.90	$143.34
80061 Blood test, lipids (cholesterol and triglycerides)	14	14	$35.00	$13.39

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99349 Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes	220	67	$184.50	$104.09
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	65	65	$163.92	$90.96
83036 Hemoglobin A1C level	59	37	$25.00	$9.66
80061 Blood test, lipids (cholesterol and triglycerides)	36	36	$35.00	$13.35
99344 New patient home visit, typically 1 hour	31	31	$263.90	$148.64
36415 Insertion of needle into vein for collection of blood sample	26	23	$12.00	$2.99
81003 Automated urinalysis test	19	14	$12.00	$2.23
99348 Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes	11	11	$122.74	$67.96

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99349 Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes	179	59	$184.50	$103.44
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	111	98	$152.91	$82.13
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	60	60	$163.92	$90.74
36415 Insertion of needle into vein for collection of blood sample	50	48	$12.00	$2.94
99213 Established patient office or other outpatient visit, typically 15 minutes	28	23	$106.38	$57.24
99344 New patient home visit, typically 1 hour	24	24	$263.90	$146.69

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99349 Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes	181	60	$184.50	$103.37
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	40	40	$163.92	$91.42
36415 Insertion of needle into vein for collection of blood sample	27	25	$12.00	$2.94
99344 New patient home visit, typically 1 hour	21	21	$263.90	$147.15
99348 Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes	12	11	$122.74	$67.52

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99349 Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes	187	77	$184.50	$102.74
36415 Insertion of needle into vein for collection of blood sample	44	33	$12.00	$2.94
99348 Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes	43	29	$122.74	$67.54
99344 New patient home visit, typically 1 hour	21	21	$263.90	$146.42
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	16	16	$163.92	$90.20

Medical Specialties & State Licenses

Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License AR A03206

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID License Number

A03206 (AR)

Hospital & Practice Group Affiliations

Fands Physical Therapy, Inc

1414 Hwy 71 N, Alma, AR 729214723

Phone: 4796320321

River Valley Primary Care Services

603 S Division St, Lavaca, AR 729414129

Phone: 4792797700

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners

Kelly Hubbard , APN

Nurse Practitioner - Family

NPI 1780990408

Advanced Practice Nurse

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events

✅

NPI Profile Active September 23, 2015

NPI status registered as active in NPPES database

📍

Updated Practice Location September 23, 2015

Registered at 603 S DIVISION ST, LAVACA, AR 729414129 (Tel: 4796749181)

📍

Updated Business Mailing Address September 23, 2015

Registered at 603 S DIVISION ST, LAVACA, AR 729414129 (Tel: 4796749181)

👤

Provider Name / Credentials Updated September 23, 2015

Recorded as JONATHAN BRONISTE, APN

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) September 23, 2015

Nurse Practitioner (License #A03206 in AR)

🟢

Initial NPI Registration & Enumeration March 17, 2009

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1275774440

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: March 17, 2009

Last Update: September 23, 2015

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

603 S Division St

Lavaca, AR 729414129

Phone: 4796749181

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.