Individual provider Active NPI

Eileen Annette Bonin, APRN

  • Nurse Practitioner
  • Ogallala, NE
National Provider Identifier
1366185993
Registry record updated Apr 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
114133 Issued in NE
Practice address
221 E 10TH St
Ogallala, NE 69153-1425
Phone
(308) 284-8421
Fax
(308) 284-2821
NPI assigned
Apr 20, 2022
Last updated
Apr 20, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 114133 NE Primary

Addresses

Primary practice location

221 E 10TH St
Ogallala, NE 69153-1425

Mailing address

900 Lincoln Ave
Grant, NE 69140-3095
Phone (308) 352-7200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE
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
I20220509000854 NE Practitioner - Nurse Practitioner 0446637623 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Perkins County Hospital DistrictGroup PAC ID 0840109823, shared by 5 NPIs, 22 clinicians

Practice addresses (Care Compare)

221 E 10TH St
Perkins County Family Clinic
Ogallala, NE 69153-1425
Phone (308) 284-8421

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
31.28 of 100Reported as group
Quality
19.15
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Perkins County Hospital District Current Accepting new patients
Perkins County Hospital District Current Accepting new patients
Perkins County Hospital District CurrentSince May 18, 2022 Accepting new patients
Perkins County Hospital District CurrentSince May 18, 2022 Accepting new patients
Perkins County Hospital District Past Accepting new patients

Locations

900 Lincoln Ave
Grant, NE 69140
Phone (308) 352-7200

912 Central Ave
Grant, NE 69140
Phone (308) 352-7100

221 E 10th St
Ogallala, NE 69153
Phone (308) 284-8421

Organizations & group practices 7

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": "1650412800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650412800000",
    "number": "1366185993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 LINCOLN AVE",
            "city": "GRANT",
            "state": "NE",
            "postal_code": "691403095",
            "telephone_number": "308-352-7200",
            "fax_number": "308-352-7290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "221 E 10TH ST",
            "city": "OGALLALA",
            "state": "NE",
            "postal_code": "691531425",
            "telephone_number": "308-284-8421",
            "fax_number": "308-284-2821"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BONIN",
        "first_name": "EILEEN",
        "middle_name": "ANNETTE",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-04-20",
        "last_updated": "2022-04-20",
        "certification_date": "2022-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NE",
            "license": "114133",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ogallala, NE

Sources for this page

Verify at the official NPI Registry.