Individual provider Active NPI

Bonny Rose-Anne Thul, NP

  • Adult Health Nurse Practitioner
  • Mankato, MN
National Provider Identifier
1760767495
Registry record updated Mar 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
CNP4588 Issued in MN
Practice address
340 Stadium Rd Ste 400
Mankato, MN 56001-6453
Phone
(507) 387-5581
NPI assigned
Oct 13, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Clinical Nurse Specialist 364SG0600X CNP4588 MN
Adult Health Nurse Practitioner 363LA2200X AC000949 MD
Adult Health Nurse Practitioner 363LA2200X CNP4588 MN Primary
Gerontology Nurse Practitioner 363LG0600X AC000949 MD

Addresses

Primary practice location

340 Stadium Rd Ste 400
Mankato, MN 56001-6453

Mailing address

855 Mankato Ave
Winona, MN 55987-4868
Phone (507) 454-3650

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
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
I20160824003105 MN Practitioner - Nurse Practitioner 8527227719 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Planned Parenthood MN, ND, SDGroup PAC ID 6002709631, 27 clinicians
Winona Health ServicesGroup PAC ID 8527977420, 160 clinicians

Practice addresses (Care Compare)

671 Vandalia St
Saint Paul, MN 55114-1312
Phone (651) 698-2406

855 Mankato Ave
Winona, MN 55987-4868
Phone (507) 454-3650

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
CNP4588MNMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Winona Health Services CurrentSince Jul 1, 2022 Accepting new patients
Planned Parenthood Minnesota, North Dakota, South Dakota CurrentSince Sep 7, 2025 Accepting new patients
Planned Parenthood Minnesota, North Dakota, South Dakota PastSince Sep 3, 2025 Accepting new patients

Locations

1001 E Central Entrance
Ste 200
Duluth, MN 55811
Phone (218) 722-0833

7532 Brooklyn Blvd
Minneapolis, MN 55443
Phone (763) 560-1555

671 Vandalia St
Saint Paul, MN 55114
Phone (651) 696-5674

107 W 4th St
Ste B102
Winona, MN 55987
Phone (507) 457-7620

855 Mankato Ave
Winona, MN 55987
Phone (507) 454-3680

Organizations & group practices 4

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.

Hospital & facility affiliations 1

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": "1318464000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773360000000",
    "number": "1760767495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "855 MANKATO AVE",
            "city": "WINONA",
            "state": "MN",
            "postal_code": "559874868",
            "telephone_number": "507-454-3650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "340 STADIUM RD STE 400",
            "city": "MANKATO",
            "state": "MN",
            "postal_code": "560016453",
            "telephone_number": "507-387-5581"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THUL",
        "first_name": "BONNY",
        "middle_name": "ROSE-ANNE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-10-13",
        "last_updated": "2026-03-13",
        "certification_date": "2026-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SG0600X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Gerontology",
            "state": "MN",
            "license": "CNP4588",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "MD",
            "license": "AC000949",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "MN",
            "license": "CNP4588",
            "primary": true
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "MD",
            "license": "AC000949",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mankato, MN

Sources for this page

Verify at the official NPI Registry.