Active NPI
Brian Scott Bonewell, CNP
- Nurse Practitioner
- Omak, WA
National Provider Identifier
1609419183
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- AP61006049
- Practice address
- 810 Jasmine St
Omak, WA 98841-9578 - Phone
- (509) 826-1760
- NPI assigned
- Oct 28, 2019
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | AP61006049 | WA | Primary |
Addresses
Primary practice location
810 Jasmine St
Omak, WA 98841-9578
Mailing address
170 Viewmont
Okanogan, WA 98840-9424
Phone (208) 559-8580
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
529 Jasmine St
Omak, WA 98841-9589
Phone (509) 826-1800
Hospital & facility affiliations
- Mid Valley Hospital & Clinic
- North Valley Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Practitioner, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AP61006049 | WA | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Okanogan County Public Hospital District No. 3 | Current | Accepting new patients | |
| Okanogan County Public Hospital District No. 3 | Current | Accepting new patients |
Locations
810 Jasmine St
Omak, WA 98841
Phone (509) 826-1760
529 Jasmine St
Omak, WA 98841
Phone (509) 826-1600
Interoperability endpoints
- bonewellb@mvhealth.cernerdirect.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.
-
- Critical Access Hospital
- Omak, WA
- NPI 1255387403
-
- Rural Health Clinic/Center
- Omak, WA
- NPI 1558398230
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Tonasket, WA
- NPI 1164580700
-
- Critical Access Hospital
- Omak, WA
- NPI 1255387403
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1572220800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1572220800000",
"number": "1609419183",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "170 VIEWMONT",
"city": "OKANOGAN",
"state": "WA",
"postal_code": "988409424",
"telephone_number": "208-559-8580"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "810 JASMINE ST",
"city": "OMAK",
"state": "WA",
"postal_code": "988419578",
"telephone_number": "509-826-1760"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BONEWELL",
"first_name": "BRIAN",
"middle_name": "SCOTT",
"name_prefix": "Mr.",
"credential": "CNP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-10-28",
"last_updated": "2019-10-28",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "WA",
"license": "AP61006049",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Omak, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.