Active NPI
Bonny Rose-Anne Thul, NP
- Adult Health Nurse Practitioner
- Mankato, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- CNP4588
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| CNP4588 | MN | MD | Adult Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Winona Health Services | Current | Accepting new patients | |
| Planned Parenthood Minnesota, North Dakota, South Dakota | Current | Accepting new patients | |
| Planned Parenthood Minnesota, North Dakota, South Dakota | Past | 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.
-
- Non-Surgical Family Planning Clinic/Center
- Saint Paul, MN
- NPI 1629057146
-
- Primary Care Clinic/Center
- Winona, MN
- NPI 1922758945
-
- General Acute Care Hospital
- Winona, MN
- NPI 1295789352
-
- Specialist
- Mankato, MN
- NPI 1831178292
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Winona, MN
- NPI 1295789352
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2026; 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.