BONNIE RENEE PATRICK APRN NPI 1386026557

NPI Information

  • NPI: 1386026557
  • Provider Name: BONNIE RENEE PATRICK, APRN
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 55 TOWNSHIP ROAD 508 E
    SOUTH POINT, OH
    ZIP 45680
  • Phone: (740) 377-2712

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NPI Details

Bonnie Renee Patrick, APRN is a family nurse practitioner in South Point, OH with 12 years of experience. Bonnie Renee Patrick, APRN NPI is 1386026557. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

55 TOWNSHIP ROAD 508 E
SOUTH POINT, OH
ZIP 45680-276
Phone: (740) 377-2712
Fax: (740) 377-2588

The NPI 1386026557 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.

  • Hemoglobin a1c level (HCPCS:83036)
  • Detection test by immunoassay with direct visual observation for influenza virus (HCPCS:87804)

The enumeration date for this NPI number is 6/24/2015 and was last updated on 9/22/2016.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LF0000XNurse PractitionerFamily3009364KENTUCKYNo
2363LF0000XNurse PractitionerFamily019848OHIOYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
10136069MEDICAIDOHIO
2K155081MEDICARE PINKENTUCKY
33810029959MEDICAIDWEST VIRGINIA
4K155080MEDICARE PINKENTUCKY
57100354810MEDICAIDKENTUCKY

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: 11/21/2025

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