Stacey M Bonus, CRNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

SP007882 Issued in PA

Practice address

125 North Franklin Drive
Suite 1
Washington, PA 15301

Phone

(724) 225-6500

Fax

(724) 225-8188

NPI assigned

Jul 26, 2005

Last updated

Sep 14, 2010By 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

Medicare fee-for-service enrollment

Enrolled in PA

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

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.

• Matrix Medical Plus

  • Nurse Practitioner
  • Nashville, TN
  • NPI 1376973461

  PA

  Medicare reassignment NPD

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

{
    "created_epoch": "1122336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1284422400000",
    "number": "1730189317",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 NORTH FRANKLIN DRIVE",
            "address_2": "SUITE 1",
            "city": "WASHINGTON",
            "state": "PA",
            "postal_code": "15301",
            "telephone_number": "724-225-6500",
            "fax_number": "724-225-8188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 NORTH FRANKLIN DRIVE",
            "address_2": "SUITE 1",
            "city": "WASHINGTON",
            "state": "PA",
            "postal_code": "15301",
            "telephone_number": "724-225-6500",
            "fax_number": "724-225-8188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BONUS",
        "first_name": "STACEY",
        "middle_name": "M",
        "name_prefix": "Mrs.",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-26",
        "last_updated": "2010-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP007882",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CRNP",
            "identifier": "SP007882",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Blueleaf Home Healthcare
• Blueprints
• Michele Bobko, COTA/L
• Anthony J Bonetto, PA-C
• Michael E Bonus, CRNP
• Nicolette Angelina Born, M.S-CCC-SLP
• Susan Joan Bosetti
• Stephen Bowen, D.P.T.
• Julie Jean Bower
• Derek Bowman

• Family Nurse Practitioner in Washington, PA
• Providers in Washington, PA by specialty
• Family Nurse Practitioner in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2010; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.