MS. JENNY JOAN BONACCI RN, CNS, CPNP
NPI 1073645966
Nurse Practitioner - Pediatrics in Roseville, CA
About Ms. Jenny Joan Bonacci Rn, Cns, Cpnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MS. JENNY JOAN BONACCI RN, CNS, CPNP (NPI 1073645966) is an individual pediatrics provider in Roseville, California, licensed in California (587187) and active in the NPI registry since March 2007. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses 3
Other Names 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Ms. Jenny Joan Bonacci Rn, Cns, Cpnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Jenny Bonacci reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Stockton, CA 95210
- Reassigned Medicare billing, California enrollment
- 20,078 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 95661 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
ROSEVILLE, CA 95661
ROSEVILLE, CA 95661
Frequently 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 Jenny Bonacci's NPI number?
The NPI number for Jenny Bonacci is 1073645966. It was assigned to this individual provider in the NPPES registry on March 9, 2007. The provider is also known as Jenny Joan Sanford.
Where is Jenny Bonacci located?
Jenny Bonacci practices at 1600 Eureka Rd Building C, Urology, Roseville, CA 95661. The listed phone number is (916) 784-4160.
What is Jenny Bonacci's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.
Is Jenny Bonacci enrolled in Medicare?
Yes. Jenny Bonacci is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Jenny Bonacci's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jenny Bonacci reassigns Medicare benefits to Permanente Medical Group Inc (Stockton, CA). The 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 Jenny Bonacci's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Jenny Bonacci was last updated on January 11, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Ms. Jenny Joan Bonacci, RN, CNS, CPNP · NPI 1073645966
Pediatrics physician in Roseville, California. Individual provider, active in the CMS NPPES registry since March 9, 2007.
## Identity
- **NPI:** 1073645966 (Entity type: Individual)
- **Enumerated:** March 9, 2007
- **Primary specialty:** Nurse Practitioner - Pediatrics · taxonomy 363LP0200X
- **State license:** 587187 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 1600 EUREKA RD, BUILDING C, UROLOGY, Roseville, CA 95661-3027
- **Phone:** (916) 784-4160
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Permanente Medical Group Inc (NPI 1548343510, Stockton, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** January 11, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1073645966) · Data from the CMS NPPES public registry.