Katrina L Bonnie, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

338902 Issued in NY

Practice address

300 State Route 104
Oswego, NY 13126-2956

Phone

(315) 342-0030

Fax

(315) 342-0258

NPI assigned

Jun 26, 2014

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

Other names 1

• Katrina L Wavle Former name

Medicare fee-for-service enrollment

Enrolled in NY

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

Specialty

Nurse Practitioner

Education

Other, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Dr. Padma Ram Medical Services LLCGroup PAC ID 8325019581, 4 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Oswego Hospital Hospital, Oswego, NY, CCN 330218

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

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 and National Provider Directory roles.

• Dr. Padma Ram Medical Services, LLC

  • Internal Medicine Physician
  • Oswego, NY
  • NPI 1902960800
  Medicare reassignment Care Compare group
• Familycare Medical Group, PC

  • Family Medicine Physician
  • Syracuse, NY
  • NPI 1447212063
  NPD (past)
• Lake Ontario Prompt Medical Care, PLLC

  • Rural Health Clinic/Center
  • Oswego, NY
  • NPI 1144918566
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Oswego Hospital

  • General Acute Care Hospital
  • Oswego, NY
  • NPI 1871678458
  Care Compare affiliation

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

{
    "created_epoch": "1403740800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681948800000",
    "number": "1942615026",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 STATE ROUTE 104",
            "city": "OSWEGO",
            "state": "NY",
            "postal_code": "131262956",
            "telephone_number": "315-342-0030",
            "fax_number": "315-216-6669"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 STATE ROUTE 104",
            "city": "OSWEGO",
            "state": "NY",
            "postal_code": "131262956",
            "telephone_number": "315-342-0030",
            "fax_number": "315-342-0258"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BONNIE",
        "first_name": "KATRINA",
        "middle_name": "L",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-06-26",
        "last_updated": "2023-04-20",
        "certification_date": "2023-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "338902",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03910592",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATRINA",
            "last_name": "WAVLE",
            "middle_name": "L",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Eric John Bittel, MA
• Sarah Black
• Samantha Blais, PA-C
• James Irwin Boles, M.D.
• Sharon Kimberlae Boncek, LMHC
• Sara Febrey Boogaard, MS, CAS, LMHC
• Courtney Boprey
• Darryl A Boscoe, LPN
• Sarah Botting, PHARMD
• Jason Daniel Bouchard

• Family Nurse Practitioner in Oswego, NY
• Providers in Oswego, NY by specialty
• Family Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2023; 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.

Verify at the official NPI Registry.