Bonnie Ruth Fruge, CFNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

RN054410-AP03579 Issued in LA

Practice address

1717 Oak Park Blvd FL 3
Lake Charles, LA 70601-8990

Phone

(337) 494-6865

Fax

(337) 494-6869

NPI assigned

Mar 24, 2006

Last updated

Jun 27, 2018By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Bonnie Ruth Smith Former name

Medicare fee-for-service enrollment

Enrolled in LA

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

Specialty

Nurse Practitioner

Education

Other, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Southwest Louisiana AIDS CouncilGroup PAC ID 5890086078, 5 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Lake Charles Memorial Hospital Hospital, Lake Charles, LA, CCN 190060

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Southwest Louisiana AIDS Council

  dba Comprehensive Care Center of Southwest Louisiana

  • Federally Qualified Health Center (FQHC)
  • Lake Charles, LA
  • NPI 1558431106
  Medicare reassignment Care Compare group NPD
• Regional Physicians Network

  • Internal Medicine Physician
  • Lake Charles, LA
  • NPI 1134306871

  Family

  NPD (past)
• Comprehensive Care Center PC

  • Internal Medicine Physician
  • Salem, OR
  • NPI 1417930934
  NPD (past)

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

• Southwest Louisiana Hospital Association Inc

  dba Digestive Health Center of SWLA

  • Gastroenterology Physician
  • Lake Charles, LA
  • NPI 1285351411

  Hospital

  Care Compare affiliation
• Southwest Louisiana Hospital Association Inc

  dba Rheumatology Associates

  • Rheumatology Physician
  • Lake Charles, LA
  • NPI 1659424075

  Hospital

  Care Compare affiliation
• Southwest Louisiana Hospital Association Inc

  dba Lake Charles Memorial Hospital

  • General Acute Care Hospital
  • Lake Charles, LA
  • NPI 1972549855
  Care Compare affiliation

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

{
    "created_epoch": "1143158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1530057600000",
    "number": "1710947635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P O BOX 122108",
            "address_2": "DEPT 2108",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753122108",
            "telephone_number": "337-480-8066",
            "fax_number": "337-480-8064"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1717 OAK PARK BLVD FL 3",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706018990",
            "telephone_number": "337-494-6865",
            "fax_number": "337-494-6869"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRUGE",
        "first_name": "BONNIE",
        "middle_name": "RUTH",
        "name_prefix": "Mrs.",
        "credential": "CFNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-24",
        "last_updated": "2018-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "RN054410-AP03579",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1431869",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BONNIE",
            "last_name": "SMITH",
            "middle_name": "RUTH",
            "credential": "CFNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Fresenius Medical Care Lake Charles Home, LLC (Fresenius Kidney Care Lake Charles Home)
• Jane Louise Freudenberger
• Jennifer Frick, PT, DPT
• Tiffani Frizzell, MS, LAT, PES, ATC
• Frontier Hospitals, Inc.
• Diane Gail Fruge, RAC
• Dianna Flowers Fruge, LCSW
• Julie Fruge, NP
• Meghan Fruge
• Susan E. Fry, LCSW

• Family Nurse Practitioner in Lake Charles, LA
• Providers in Lake Charles, LA by specialty
• Family Nurse Practitioner in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2018; 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.

Verify at the official NPI Registry.