Individual provider Active NPI

Bonnie Tandoc, ARNP

  • Family Nurse Practitioner
  • Newton, KS
National Provider Identifier
1578572657
Registry record updated Apr 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
44266 Issued in KS
Practice address
720 Medical Center Dr
Newton, KS 67114-8778
Phone
(316) 283-6103
Fax
(316) 283-1333
NPI assigned
Aug 6, 2006
Last updated
Apr 21, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2026

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 44266 KS Primary

Addresses

Primary practice location

720 Medical Center Dr
Newton, KS 67114-8778

Mailing address

720 Medical Center Dr
Newton, KS 67114-8778
Phone (316) 283-6103

Other practice location 1

126 Main St
Halstead, KS 67056-1708
Phone (316) 835-3700

Other practice location 2

700 Medical Center Dr Ste 101&102
Newton, KS 67114-9013
Phone (316) 283-6103

Other identifiers 4

IdentifierTypeStateIssuer
6775OtherKSPHS
100347890AMedicaidKS
017665OtherKSBCBS
30004035420004MedicaidKS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
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
I20050408000502 KS Practitioner - Nurse Practitioner 1850338195 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Health Ministries Clinic IncGroup PAC ID 1254330244, 31 clinicians

Practice addresses (Care Compare)

126 Main St
Halstead, KS 67056-1708
Phone (316) 835-3700

720 Medical Ctr Dr
Newton, KS 67114-8778
Phone (316) 283-6103

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
44266KSMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Health Ministries Clinic, Inc Current Accepting new patients

Locations

126 Main St
Halstead, KS 67056
Phone (316) 835-3700

209 S Pine St
Newton, KS 67114
Phone (316) 283-6103

215 S Pine St
Newton, KS 67114
Phone (316) 283-4400

720 Medical Center Dr
Newton, KS 67114
Phone (316) 283-6103

Organizations & group practices 1

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": "1154822400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776729600000",
    "number": "1578572657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "720 MEDICAL CENTER DR",
            "city": "NEWTON",
            "state": "KS",
            "postal_code": "671148778",
            "telephone_number": "316-283-6103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "720 MEDICAL CENTER DR",
            "city": "NEWTON",
            "state": "KS",
            "postal_code": "671148778",
            "telephone_number": "316-283-6103",
            "fax_number": "316-283-1333"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "126 Main St",
            "address_purpose": "LOCATION",
            "city": "Halstead",
            "state": "KS",
            "postal_code": "670561708",
            "country_code": "US",
            "telephone_number": "316-835-3700",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "700 Medical Center Dr Ste 101&102",
            "address_purpose": "LOCATION",
            "city": "Newton",
            "state": "KS",
            "postal_code": "671149013",
            "country_code": "US",
            "telephone_number": "316-283-6103",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TANDOC",
        "first_name": "BONNIE",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-06",
        "last_updated": "2026-04-21",
        "certification_date": "2026-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KS",
            "license": "44266",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHS",
            "identifier": "6775",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100347890A",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "017665",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30004035420004",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Newton, KS

Sources for this page

Verify at the official NPI Registry.