Active NPI
Karen M Bonner, N.P.
- Family Nurse Practitioner
- Sheboygan, WI
National Provider Identifier
1205971546
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 1906-033
- Practice address
- 615 Pennsylvania Ave
Sheboygan County Inhealth Clinic
Sheboygan, WI 53081-4642 - Phone
- (920) 547-4210
- Fax
- (262) 247-0662
- NPI assigned
- Feb 21, 2007
- 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 | 1906-033 | WI | Primary |
Addresses
Primary practice location
615 Pennsylvania Ave
Sheboygan County Inhealth Clinic
Sheboygan, WI 53081-4642
Mailing address
615 Pennsylvania Ave
Sheboygan County Inhealth Clinic
Sheboygan, WI 53081-4642
Phone (920) 547-4210
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 43968900 | Medicaid | WI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1906-033 | WI | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ascension St Francis Hospital, Inc | Past | Accepting new patients | |
| Ascension St Francis Hospital, Inc | Past | Accepting new patients |
Interoperability endpoints
- karen.bonner@214522098548740.direct.elationemr.com
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.
-
dba Ascension St Francis Hospital
- General Acute Care Hospital
- Milwaukee, WI
- NPI 1225087190
-
dba Ascension St Francis Hospital
- General Acute Care Hospital
- Milwaukee, WI
- NPI 1710775408
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172016000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1211846400000",
"number": "1205971546",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "615 PENNSYLVANIA AVE",
"address_2": "SHEBOYGAN COUNTY INHEALTH CLINIC",
"city": "SHEBOYGAN",
"state": "WI",
"postal_code": "530814642",
"telephone_number": "920-547-4210",
"fax_number": "262-247-0662"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "615 PENNSYLVANIA AVE",
"address_2": "SHEBOYGAN COUNTY INHEALTH CLINIC",
"city": "SHEBOYGAN",
"state": "WI",
"postal_code": "530814642",
"telephone_number": "920-547-4210",
"fax_number": "262-247-0662"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BONNER",
"first_name": "KAREN",
"middle_name": "M",
"credential": "N.P.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-21",
"last_updated": "2008-05-27",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "WI",
"license": "1906-033",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "43968900",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Sheboygan, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.