Bonnie D Porter, CRNA

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

54986 Issued in KS

Practice address

15TH at Pershing
Liberal, KS 67901-2455

Phone

(620) 624-1651

Fax

(620) 629-6655

NPI assigned

Jun 16, 2006

Last updated

Jul 13, 2026By 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 KS

Enrollment records 1

Specialty

Certified Registered Nurse Anesthetist (Crna)

Education

Other, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Southwest Medical CenterGroup PAC ID 7517941651, 62 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

83.79 of 100Reported as group

Quality

68.45

Promoting interoperability

100

Improvement activities

40

Cost

72.27

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse

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.

• Southwest Medical Center

  dba Southwest Professional Physicians

  • Surgery Physician
  • Liberal, KS
  • NPI 1144493040
  Medicare reassignment Care Compare group NPD
• Southwest Medical Center

  dba SWMC Diagnostic Imaging

  • Diagnostic Radiology Physician
  • Liberal, KS
  • NPI 1285503078
  NPD
• Southwest Medical Center

  dba Southwest Medical Center Anesthesia

  • Anesthesiology Physician
  • Liberal, KS
  • NPI 1568979557
  NPD

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

{
    "created_epoch": "1150416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1932143039",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2501 LILAC DR",
            "city": "LIBERAL",
            "state": "KS",
            "postal_code": "679014945",
            "telephone_number": "620-624-4796"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15TH AT PERSHING",
            "city": "LIBERAL",
            "state": "KS",
            "postal_code": "679012455",
            "telephone_number": "620-624-1651",
            "fax_number": "620-629-6655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PORTER",
        "first_name": "BONNIE",
        "middle_name": "D",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-16",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "KS",
            "license": "54986",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "144662",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Vera Elena Petrovic
• Andy Phan
• Peter Phan, M.D.
• Tanya Jan Pittman, M.D.
• Roman Pohorecki, MD
• Premierhealth, LLC
• Rachow Physical Therapy LLC (Rachow Physical Therapy)
• Bradley J Rachow, D.D.S.
• Molly Rachow, PT
• Radcliff Family Eyecare, LLC

• Anesthesiology Physician in Liberal, KS
• Providers in Liberal, KS by specialty
• Anesthesiology Physician in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 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.
• 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.