Active NPI
Gabrielle Ruthann Bonner, NP
- Family Nurse Practitioner
- Springfield, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 2021022266
- Practice address
- 1965 S Fremont Ave Ste 350
Springfield, MO 65804-2295 - Phone
- (417) 820-3500
- NPI assigned
- Aug 4, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 2021022266 | MO | Primary |
Addresses
Primary practice location
1965 S Fremont Ave Ste 350
Springfield, MO 65804-2295
Mailing address
1965 S Fremont Ave Ste 350
Springfield, MO 65804-2295
Phone (417) 820-3500
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | Gabrielle.Bonner@Mercy.Net |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1965 S Fremont Ave
350 MC Internal Medicine S Fremont
Springfield, MO 65804-2295
Phone (417) 820-3500
Hospital & facility affiliations
- Mercy Hospital Springfield
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mercy Clinic Springfield Communities | Family | Current | Accepting new patients |
| Mercy Clinic Springfield Communities | Current | Accepting new patients |
Locations
1235 E Cherokee St
Springfield, MO 65804
Phone (417) 820-2115
1965 S Fremont Ave
Ste 350
Springfield, MO 65804
Phone (417) 820-3500
2115 S Fremont Ave
Ste 3050
Springfield, MO 65804
Phone (417) 820-3905
2115 S Fremont Ave
Ste 2300
Springfield, MO 65804
Phone (417) 820-2675
Interoperability endpoints
- gbonner1189102@directc.mercy.net
- gabrielle.bonner@mercy.net
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Family Medicine Physician
- Springfield, MO
- NPI 1245277631
-
- Rural Health Clinic/Center
- Willow Springs, MO
- NPI 1972771657
Family
Hospital & facility affiliations 9
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Springfield, MO
- NPI 1578504056
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1628035200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1630972800000",
"number": "1013681832",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1965 S FREMONT AVE STE 350",
"city": "SPRINGFIELD",
"state": "MO",
"postal_code": "658042295",
"telephone_number": "417-820-3500"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1965 S FREMONT AVE STE 350",
"city": "SPRINGFIELD",
"state": "MO",
"postal_code": "658042295",
"telephone_number": "417-820-3500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BONNER",
"first_name": "GABRIELLE",
"middle_name": "RUTHANN",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-08-04",
"last_updated": "2021-09-07",
"certification_date": "2021-09-07",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MO",
"license": "2021022266",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "Gabrielle.Bonner@Mercy.Net",
"affiliation": "N",
"address_1": "1965 S Fremont Ave Ste 350",
"city": "Springfield",
"state": "MO",
"country_code": "US",
"postal_code": "658042295",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Springfield, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.