NICOLE LYNNE BONNO RN
NPI 1154195667
Nurse Practitioner - Family in Gouverneur, NY
About Nicole Lynne Bonno Rn NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
NICOLE LYNNE BONNO RN (NPI 1154195667) is an individual family provider in Gouverneur, New York, licensed in New York (355908) and active in the NPI registry since November 2023. She is enrolled in Medicare PECOS, is affiliated with Canton-potsdam Hospital, and is a graduate of Other (2024).
NPPES Registry Identity
Specialties & Licenses 2
Other Names 1
Group Practice 1
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
Nicole Lynne Bonno Rn 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.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Canton-Potsdam Hospital
Acute Care Hospitals · Potsdam, NYGouverneur Hospital
Critical Access Hospitals · Gouverneur, NYPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 13642 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.
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 Nicole Bonno's NPI number?
The NPI number for Nicole Bonno is 1154195667. It was assigned to this individual provider in the NPPES registry on November 14, 2023. The provider is also known as Nicole Lynne Cougler Rn.
Where is Nicole Bonno located?
Nicole Bonno practices at 77 W Barney St, Gouverneur, NY 13642. The listed phone number is (315) 287-4440.
What is Nicole Bonno's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Nicole Bonno enrolled in Medicare?
Yes. Nicole Bonno 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 Nicole Bonno affiliated with any hospitals?
According to CMS data, Nicole Bonno is affiliated with Canton-Potsdam Hospital and Gouverneur Hospital.
When was this NPI record last updated?
The NPPES record for Nicole Bonno was last updated on April 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months 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.
# Nicole Lynne Bonno, RN · NPI 1154195667
Family physician in Gouverneur, New York. Individual provider, active in the CMS NPPES registry since November 14, 2023.
## Identity
- **NPI:** 1154195667 (Entity type: Individual)
- **Enumerated:** November 14, 2023
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 355908 (New York)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 77 W BARNEY ST, Gouverneur, NY 13642-1040
- **Phone:** (315) 287-4440 · **Fax:** (315) 287-1858
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2024
## Record status
- **NPPES last updated:** April 11, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1154195667) · Data from the CMS NPPES public registry.