Individual provider Active NPI

Bonnie Aileen Bosier, APRN

  • Family Nurse Practitioner
  • Gainesville, FL
National Provider Identifier
1730868704
Registry record updated Jun 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN11027511 Issued in FL
Practice address
6716 NW 11TH PL Ste 200
Gainesville, FL 32605-4201
Phone
(352) 331-9729
Fax
(352) 331-0137
NPI assigned
Jul 17, 2023
Last updated
Jun 19, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2025

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 APRN11027511 FL Primary

Addresses

Primary practice location

6716 NW 11TH PL Ste 200
Gainesville, FL 32605-4201

Mailing address

12129 NW 206TH Ter
Alachua, FL 32615-4395
Phone (352) 204-7929

Other identifiers 2

IdentifierTypeStateIssuer
1211464-00MedicaidFL
IBA9NOtherFLBCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20230921001417 FL Practitioner - Nurse Practitioner 8729432901 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Doctors Radiology Group of Gainesville LLCGroup PAC ID 4789692328, 33 clinicians

Practice addresses (Care Compare)

6500 W Newberry Rd
Gainesville, FL 32605-4309
Phone (352) 333-4000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN11027511FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Doctors Imaging Group LLC CurrentSince May 1, 2025 Accepting new patients
Doctors Radiology Group of Gainesville LLC CurrentSince May 1, 2025 Accepting new patients

Locations

6500 W Newberry Rd
Gainesville, FL 32605
Phone (352) 333-4180

6716 NW 11th Pl
Ste 200
Gainesville, FL 32605

340 NW Commerce Dr
Lake City, FL 32055
Phone (386) 719-9000

6121 Saint Johns Ave
Palatka, FL 32177
Phone (386) 326-0077

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

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": "1689552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750291200000",
    "number": "1730868704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12129 NW 206TH TER",
            "city": "ALACHUA",
            "state": "FL",
            "postal_code": "326154395",
            "telephone_number": "352-204-7929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6716 NW 11TH PL STE 200",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326054201",
            "telephone_number": "352-331-9729",
            "fax_number": "352-331-0137"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOSIER",
        "first_name": "BONNIE",
        "middle_name": "AILEEN",
        "name_prefix": "Mrs.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-07-17",
        "last_updated": "2025-06-19",
        "certification_date": "2025-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11027511",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1211464-00",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "IBA9N",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gainesville, FL

Sources for this page

Verify at the official NPI Registry.