THE BONIN CLINIC LLC
NPI 1003280512
Clinic/Center - Primary Care in Zachary, LA
About The Bonin Clinic Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
THE BONIN CLINIC LLC (NPI 1003280512) is a healthcare organization registered as a primary care in Zachary, Louisiana and active in the NPI registry since November 2015. The organization holds a CLIA Waiver certificate valid through October 14, 2027 and lists Otto Joseph Bonin, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
The Bonin Clinic Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
2Medicare enrollment records show 2 clinicians reassign Medicare billing to The Bonin Clinic LLC, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.
Clinicians, nearest first (2)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 19D2103572
The Bonin Clinic LLC · Zachary, LAFrequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is The Bonin Clinic LLC's NPI number?
The NPI number for The Bonin Clinic LLC is 1003280512. It was assigned to this organization in the NPPES registry on November 20, 2015.
Where is The Bonin Clinic LLC located?
The Bonin Clinic LLC is located at 1215 Independence Blvd 1A, Zachary, LA 70791. The listed phone number is (225) 570-2010.
What is The Bonin Clinic LLC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.
Is The Bonin Clinic LLC enrolled in Medicare?
Yes. The Bonin Clinic LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through The Bonin Clinic LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Nurse Practitioner, reassign their Medicare billing to The Bonin Clinic LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does The Bonin Clinic LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 19D2103572) is associated with this NPI, valid through October 14, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does The Bonin Clinic LLC accept?
Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Blue Cross and Blue Shield of Louisiana and 1 other insurer list The Bonin Clinic LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for The Bonin Clinic LLC was last updated on July 8, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# The Bonin Clinic Llc · NPI 1003280512
Primary Care organization in Zachary, Louisiana. Organization record, active in the CMS NPPES registry since November 20, 2015.
## Identity
- **NPI:** 1003280512 (Entity type: Organization)
- **Enumerated:** November 20, 2015
- **Primary specialty:** Clinic/Center - Primary Care · taxonomy 261QP2300X
- **Organization subpart:** No
- **Authorized official:** Otto Bonin, OWNER
## Practice location
- **Address:** 1215 INDEPENDENCE BLVD, 1A, Zachary, LA 70791-7390
- **Phone:** (225) 570-2010 · **Fax:** (225) 570-8573
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 2 clinicians (Nurse Practitioner) reassign Medicare billing to this organization (form CMS-855R); 2 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 8, 2024
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1003280512) · Data from the CMS NPPES public registry.