Bonni Lynn Macqueen, APN

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

APRN9492848 Issued in FL

Practice address

33041 Professional Dr Ste 101
Leesburg, FL 34788-3761

Phone

(352) 478-0010

Fax

(949) 577-4163

NPI assigned

Apr 13, 2013

Last updated

Aug 18, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ, FL2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 2

Specialty

Nurse Practitioner

Education

Other, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

FCHR PAGroup PAC ID 9638121684, 19 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Mobility Home Healthcare Inc Home health agency, Clermont, FL, CCN 687245
• Adventhealth Orlando Hospital, Orlando, FL, CCN 100007

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• FCHR PA

  dba Four Corners Health & Rehabilitation

  • Physical Therapist
  • Clermont, FL
  • NPI 1760427975
  Medicare reassignment Care Compare group NPD
• Mobility Home Healthcare Inc

  • Home Health Agency
  • Clermont, FL
  • NPI 1669127981
  NPD
• Lake Cardiovascular Diagnostic Center L.L.C

  • Cardiovascular Disease Physician
  • Lady Lake, FL
  • NPI 1801135173
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Adventist Health System-Sunbelt, Inc

  dba AdventHealth Orlando

  • General Acute Care Hospital
  • Orlando, FL
  • NPI 1306938071
  Care Compare affiliation
• Adventist Health System-Sunbelt, Inc

  dba AdventHealth Orlando Outreach Laboratory

  • Clinical Medical Laboratory
  • Orlando, FL
  • NPI 1801569728

  Hospital

  Care Compare affiliation
• Mobility Home Healthcare Inc

  • Home Health Agency
  • Clermont, FL
  • NPI 1669127981
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1365811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692316800000",
    "number": "1083057624",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25225 LOST OAK CIR",
            "city": "LEESBURG",
            "state": "FL",
            "postal_code": "347487400",
            "telephone_number": "609-781-2802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33041 PROFESSIONAL DR STE 101",
            "city": "LEESBURG",
            "state": "FL",
            "postal_code": "347883761",
            "telephone_number": "352-478-0010",
            "fax_number": "949-577-4163"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACQUEEN",
        "first_name": "BONNI",
        "middle_name": "LYNN",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-04-13",
        "last_updated": "2023-08-18",
        "certification_date": "2023-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "FL",
            "license": "APRN9492848",
            "primary": true
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NJ",
            "license": "26NJ00429200",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrea M Macdonald, ARNP
• Macinnis Dermatology
• Colleen Renee Macinnis, MD
• Amy Mack, APRN
• Patricia Mack, BA
• Macrodont Solutions Inc (Sunrise Dental)
• Hope E Maddix, APRN
• Dino Madonna, M.D
• Anthony Kenrick Maharaj, PA-C
• Robert L. Maiello, M.D.

• Adult Health Nurse Practitioner in Leesburg, FL
• Providers in Leesburg, FL by specialty
• Adult Health Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2023; 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.

Verify at the official NPI Registry.