Individual provider Active NPI

Bonita Carman, FNP-C

  • Family Nurse Practitioner
  • Novinger, MO
National Provider Identifier
1275201949
Registry record updated Aug 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
2021027068 Issued in MO
Practice address
43823 Iris TRL
Novinger, MO 63559-2032
Phone
(660) 988-3815
NPI assigned
Aug 30, 2021
Last updated
Aug 30, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 2021027068 MO Primary

Addresses

Primary practice location

43823 Iris TRL
Novinger, MO 63559-2032

Mailing address

43823 Iris TRL
Novinger, MO 63559-2032
Phone (660) 988-3815

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20240722001489 IA Practitioner - Nurse Practitioner 3375934441 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wayne County HospitalGroup PAC ID 4082508734, 46 clinicians

Practice addresses (Care Compare)

417 S E St
Corydon, IA 50060-1860
Phone (641) 872-2063

515 W Wall St
Seymour, ID 52590-1333
Phone (641) 898-2898

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
86.57 of 100Reported as group
Quality
93.49
Promoting interoperability
100
Improvement activities
40
Cost
61.74

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2021027068MOMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Wayne County Hospital Current Accepting new patients
Wayne County Hospital CurrentSince May 11, 2024 Accepting new patients
Wayne County Hospital Family CurrentSince May 11, 2024 Accepting new patients

Locations

417 S East St
Corydon, IA 50060
Phone (641) 872-2260

Organizations & group practices 3

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.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1630281600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630281600000",
    "number": "1275201949",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43823 IRIS TRL",
            "city": "NOVINGER",
            "state": "MO",
            "postal_code": "635592032",
            "telephone_number": "660-988-3815"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "43823 IRIS TRL",
            "city": "NOVINGER",
            "state": "MO",
            "postal_code": "635592032",
            "telephone_number": "660-988-3815"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARMAN",
        "first_name": "BONITA",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-30",
        "last_updated": "2021-08-30",
        "certification_date": "2021-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "2021027068",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Novinger, MO

Sources for this page

Verify at the official NPI Registry.