Individual provider Active NPI

James Quinton Bonnesen

  • Certified Registered Nurse Anesthetist
  • Wichita, KS
National Provider Identifier
1912361635
Registry record updated Feb 21, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
557425 Issued in KS
Practice address
13716 E Mainsgate Street
Wichita, KS 67228-8049
Phone
(801) 358-3420
NPI assigned
Apr 8, 2016
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 21, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X R097997 AR
Certified Registered Nurse Anesthetist 367500000X 557425 KS Primary

Addresses

Primary practice location

13716 E Mainsgate Street
Wichita, KS 67228-8049

Mailing address

13716 E Mainsgate St
Wichita, KS 67228-8049
Phone (801) 358-3420

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM, NC2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20220426000459 NM Practitioner - Certified Registered Nurse Anesthetist (Crna) 6608168232 Reassigns benefits to 2 organizations
I20251220000572 NC Practitioner - Certified Registered Nurse Anesthetist (Crna) 6608168232 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
CHS Anesthesia Services Group IncGroup PAC ID 5799007324, 742 clinicians
Main Street Anesthesia of New Mexico, LLCGroup PAC ID 3476807538, 228 clinicians

Practice addresses (Care Compare)

1000 Blythe Blvd
Charlotte, NC 28203-5812
Phone (704) 355-2000

117 E 19TH St
Lovelace Regional Hospital Roswell
Roswell, NM 88201-5151
Phone (575) 627-7000

8800 N Tryon St
Charlotte, NC 28262-3300
Phone (704) 863-6000

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
R097997ARMDRegistered Nurse
8096NCMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Main Street Anesthesia of New Mexico, LLC CurrentSince Jul 1, 2025 Accepting new patients
CHS Anesthesia Services Group Inc CurrentSince Dec 22, 2025 Accepting new patients
Anesthesia Associates of New Mexico P C CurrentSince Apr 1, 2022 Accepting new patients

Locations

1100 Central Ave SE
Albuquerque, NM 87106
Phone (505) 724-6124

8300 Constitution Ave NE
Albuquerque, NM 87110
Phone (505) 291-2000

117 E 19th St
Roswell, NM 88201
Phone (505) 727-2000

Organizations & group practices 3

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 8

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": "1460073600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1487635200000",
    "number": "1912361635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13716 E MAINSGATE ST",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672288049",
            "telephone_number": "801-358-3420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13716 E MAINSGATE STREET",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672288049",
            "telephone_number": "801-358-3420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BONNESEN",
        "first_name": "JAMES",
        "middle_name": "QUINTON",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-04-08",
        "last_updated": "2017-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "AR",
            "license": "R097997",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "KS",
            "license": "557425",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wichita, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.