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MISS BONNIE L SERVAGE ANP
NPI 1093718066
Nurse Practitioner - Adult Health in Watertown, NY

Active since May 24, 2005PECOS EnrolledAccepts Medicare Assignment
53-59 PUBLIC SQ, STE 301, WATERTOWN, NY 13601(315) 782-2141(315) 782-5123 Get Directions Write a Review

NPPES record last updated: October 25, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Miss Bonnie L Servage Anp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MISS BONNIE L SERVAGE ANP (NPI 1093718066) is an individual adult health provider in Watertown, New York, licensed in New York (F303309) and active in the NPI registry since May 2005. She is enrolled in Medicare PECOS, is affiliated with Samaritan Medical Center, and is a graduate of Other (2001).

NPPES Registry Identity

NPI1093718066
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameMISS BONNIE L SERVAGECredential: ANP
Location Address53-59 PUBLIC SQ, STE 301Watertown, NY 13601-2674
Mailing Address53-59 Public Sq, Ste 301Watertown, NY 13601-2674 · (315) 782-2141 · Fax (315) 782-5123
Phone(315) 782-2141
Fax(315) 782-5123
Sole ProprietorNo
Medical School CMSOtherGraduated 2001
Enumeration DateMay 24, 2005
Last NPPES UpdateOctober 25, 2007
✔ NPI 1093718066 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License✔ Licensed in NY · F303309
53-59 PUBLIC SQ, Watertown, NY 13601
Open in Google Maps ↗

Other Identifiers 5

Medicare UPINP76901NY
Medicaid02331175NY
Medicare PINDD3908NY
Medicare ID-Type UnspecifiedDD3908NY
Other7599474NY · Ghi

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Miss Bonnie L Servage Anp is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3274588090
PECOS Enrollment IDI20050315000407
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
226 services155 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
180 services146 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
165 services165 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Samaritan Medical Center

Acute Care Hospitals · Watertown, NY
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330157
Location830 Washington StreetWatertown, NY 13601 · Jefferson County
Emergency services Birthing friendly

Carthage Area Hospital, Inc

Critical Access Hospitals · Carthage, NY
OwnershipVoluntary non-profit - Private
CMS Certification Number331318
Location1001 West StreetCarthage, NY 13619 · Jefferson County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 13601 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$84.93 typical visit price
range $54.87 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.08 typical visit price
range $17.54 – $136.14
Typical copayment $24.27 (range $4.38 – $34.03)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
6 suppliers21 claims40 services$4.77 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

INTERNAL MEDICINE OF NORTHERN NEW YORK
Internal Medicine
53-59 PUBLIC SQ, SUITE 201
WATERTOWN, NY 13601
Jefferson County (315) 782-4950
DR. COLLINS F KELLOGG JR. MD
Internal Medicine
53-59 PUBLIC SQ, STE 301
WATERTOWN, NY 13601
Jefferson County (315) 782-2141
MRS. JULIE M LAPOINTE MD
Internal Medicine
53-59 PUBLIC SQ, STE 301
WATERTOWN, NY 13601
Jefferson County (315) 782-2141
DR. SARAH R SUGDEN AU.D.
Audiologist
53-59 PUBLIC SQ, SUITE 100
WATERTOWN, NY 13601
Jefferson County (315) 786-3225
MS. ANN M LEPINE ANP, FNP
Nurse Practitioner (Adult Health)
53-59 PUBLIC SQ, STE 301
WATERTOWN, NY 13601
Jefferson County (315) 782-2141
MRS. NANCY J SPICER ANP
Nurse Practitioner (Adult Health)
53-59 PUBLIC SQ, STE 301
WATERTOWN, NY 13601
Jefferson County (315) 782-2141
DR. FRANK RHODE MD
Internal Medicine
53-59 PUBLIC SQ, SUITE 201
WATERTOWN, NY 13601
Jefferson County (315) 782-4950
WATERTOWN AUDIOLOGY PC
Audiologist-Hearing Aid Fitter
53-59 PUBLIC SQ, SUITE 100
WATERTOWN, NY 13601
Jefferson County (315) 786-3225

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 Bonnie Servage's NPI number?

The NPI number for Bonnie Servage is 1093718066. It was assigned to this individual provider in the NPPES registry on May 24, 2005.

Where is Bonnie Servage located?

Bonnie Servage practices at 53-59 Public Sq Ste 301, Watertown, NY 13601. The listed phone number is (315) 782-2141.

What is Bonnie Servage's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is Bonnie Servage enrolled in Medicare?

Yes. Bonnie Servage is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Bonnie Servage affiliated with any hospitals?

According to CMS data, Bonnie Servage is affiliated with Samaritan Medical Center and Carthage Area Hospital, Inc.

When was this NPI record last updated?

The NPPES record for Bonnie Servage was last updated on October 25, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.