Bonnie A Lupo, MS, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

F332123-1 Issued in NY

Practice address

1700 Walker Lake Ontario Rd
Hilton, NY 14468-9161

Phone

(585) 964-7622

Fax

(585) 425-5295

NPI assigned

Jun 14, 2005

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

• Bonnie Lupo Barnes Other 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

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science, Nurse Practitioner

State licenses

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 and National Provider Directory roles.

• Nys Medical Associate PLLC

  • Internal Medicine Physician
  • Rego Park, NY
  • NPI 1104268572
  Medicare reassignment NPD
• Extended Medical Services, PLLC

  • Urgent Care Clinic/Center
  • Hilton, NY
  • NPI 1053405241
  NPD (past)
• Nanette D Phillis, MD, PLLC

  • Primary Care Clinic/Center
  • Rochester, NY
  • NPI 1588832984
  NPD (past)

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

{
    "created_epoch": "1118707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1952306276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 WALKER LAKE ONTARIO RD",
            "city": "HILTON",
            "state": "NY",
            "postal_code": "144689161",
            "telephone_number": "585-964-7622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 WALKER LAKE ONTARIO RD",
            "city": "HILTON",
            "state": "NY",
            "postal_code": "144689161",
            "telephone_number": "585-964-7622",
            "fax_number": "585-425-5295"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUPO",
        "first_name": "BONNIE",
        "middle_name": "A",
        "credential": "MS,  FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-06-14",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F332123-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02128054",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BONNIE",
            "last_name": "LUPO BARNES",
            "credential": "MS,  FNP-C",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Garth Laidlaw, MD
• Lakeside Health System
• Matthew Landon, P.T.
• Legacy Dental Practice PLLC
• Mark Lukomskiy, DPT
• Cheryl Macklem
• Rachel L Macmullen, NYS LIC SLP
• Nilsa Milagros Martinez, MD
• Arshad Masood, MD
• Alicia Michelle Maxwell, LMHC, MASTER CASAC

• Family Nurse Practitioner in Hilton, NY
• Providers in Hilton, 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 Jul 9, 2007; 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.