Individual provider Active NPI

Stephanie Lynne Bonzek, APRN, FNP-BC

  • Family Nurse Practitioner
  • Santa Fe, NM
National Provider Identifier
1316752876
Registry record updated May 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
82764 Issued in NM
Practice address
649 Harkle Rd
Santa Fe, NM 87505-4765
Phone
(505) 955-9454
NPI assigned
Feb 11, 2025
Last updated
May 13, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 13, 2025

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 82764 NM Primary

Addresses

Primary practice location

649 Harkle Rd
Santa Fe, NM 87505-4765

Mailing address

PO Box 6880
Santa Fe, NM 87502-6880
Phone (505) 216-0332

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM
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
I20250327001850 NM Practitioner - Nurse Practitioner 7416470729 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southwest Care CenterGroup PAC ID 8921043035, 28 clinicians

Practice addresses (Care Compare)

649 Harkle Rd
Suite E
Santa Fe, NM 87505-4765
Phone (505) 955-9454

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Southwest Care Center CurrentSince Mar 3, 2025 Accepting new patients
Southwest Care Center CurrentSince Mar 3, 2025 Accepting new patients
Southwest Care Center PastSince Feb 23, 2025 Accepting new patients
Southwest Care Center Jefferson Albuquerque Past Accepting new patients
Southwest Care Center Past Accepting new patients

Locations

649 Harkle Rd
Ste E
Santa Fe, NM 87505
Phone (505) 955-9454

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/19212/brand/1/csg/1/fhir/r4
  • Direct secure messaging: stephanie.bonzek.1@19212.direct.athenahealth.com

Organizations & group practices 5

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 2

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": "1739232000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747094400000",
    "number": "1316752876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6880",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875026880",
            "telephone_number": "505-216-0332",
            "fax_number": "505-982-0279"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "649 HARKLE RD",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875054765",
            "telephone_number": "505-955-9454"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BONZEK",
        "first_name": "STEPHANIE",
        "middle_name": "LYNNE",
        "credential": "APRN, FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-02-11",
        "last_updated": "2025-05-13",
        "certification_date": "2025-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NM",
            "license": "82764",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Fe, NM

Sources for this page

Verify at the official NPI Registry.