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SHAWN PATRICK BONILLA N.P. NPI 1134213978


NPI Information

NPI: 1134213978
Provider Name: SHAWN PATRICK BONILLA, N.P.
Classification: Nurse Practitioner - 363LA2100X
Entity Type: Individual

Specialization: Acute Care

Organization: HEALTHCARE STAT OF NEWCASTLE LLC

PECOS Registration: Yes

Address:
821 E VETERANS MEMORIAL HWY
BLANCHARD, OK
ZIP 73010
Phone: (405) 659-5656
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Shawn Patrick Bonilla, N.P. is an acute care nurse practitioner in Blanchard, OK with 18 years of experience. Shawn Patrick Bonilla, N.P. NPI is 1134213978. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

821 E VETERANS MEMORIAL HWY
BLANCHARD, OK
ZIP 73010-215
Phone: (405) 659-5656
Fax: (405) 701-5421

The NPI 1134213978 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Injection, dexamethasone sodium phosphate, 1mg (HCPCS:J1100)
  • Injection beneath the skin or into muscle for therapy, diagnosis, or prevention (HCPCS:96372)
  • Insertion of needle into vein for collection of blood sample (HCPCS:36415)
  • Automated urinalysis test (HCPCS:81003)
  • Routine EKG using at least 12 leads including interpretation and report (HCPCS:93000)
  • Infusion into a vein for therapy, prevention, or diagnosis up to 1 hour (HCPCS:96365)

The enumeration date for this NPI number is 10/3/2006 and was last updated on 3/24/2016.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1363LA2100XNurse PractitionerAcute CareROO68442OKLAHOMAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1200226680AMEDICAIDOKLAHOMA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.