Melanie Bonanno, APN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

209016309 Issued in IL

Practice address

2400 Belvidere Rd
Waukegan, IL 60085-6165

Phone

(847) 377-8800

NPI assigned

Aug 21, 2017

Last updated

Aug 21, 2017By 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

Medicare fee-for-service enrollment

Enrolled in IL

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

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.

• Naperville Rehab and Medical Clinic PC

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Naperville, IL
  • NPI 1053806406
  Medicare reassignment NPD
• Perspective Behavioral and Pain Solutions LTD

  • Psychologist
  • Rosemont, IL
  • NPI 1326671702
  Medicare reassignment NPD
• Signify Health Medical Associates, PLLC

  • General Practice Physician
  • Dallas, TX
  • NPI 1750845863

  IL

  Medicare reassignment NPD
• Advanced Physical Medicine & Therapy, LTD.

  • Customized Equipment (DME)
  • Mount Prospect, IL
  • NPI 1821680273
  NPD
• Naperville Rehabilitation and Pain Management Center, P.C.

  • Chiropractor
  • Naperville, IL
  • NPI 1003066010
  NPD

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

{
    "created_epoch": "1503273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1503273600000",
    "number": "1932625936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3010 GRAND AVE",
            "city": "WAUKEGAN",
            "state": "IL",
            "postal_code": "600852321",
            "telephone_number": "847-377-8000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2400 BELVIDERE RD",
            "city": "WAUKEGAN",
            "state": "IL",
            "postal_code": "600856165",
            "telephone_number": "847-377-8800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BONANNO",
        "first_name": "MELANIE",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-21",
        "last_updated": "2017-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209016309",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melanie Anne Board, B.A.,MHP
• Charolette Bodden, CPHT
• Margaret M Boilini, PA-C
• Kayla Boldt
• Lee R Bomgaars, DDS
• Henri William Boodee, MD
• Emily Borland
• Botkins Dialysis LLC (Beach Park Dialysis)
• Judith Bowman, MD
• Ivan Robert Bracic, D.C.

• Family Nurse Practitioner in Waukegan, IL
• Providers in Waukegan, IL by specialty
• Family Nurse Practitioner in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 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; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.