BONNER GENERAL HOSPITAL INC.
NPI 1154563963
General Acute Care Hospital - Critical Access in Sandpoint, ID

Active since March 26, 2009
520 N 3RD AVE, SANDPOINT, ID 83864(208) 263-1441(208) 265-1277 Get Directions Write a Review

NPPES record last updated: March 4, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Mar 4, 2025, Feb 8, 2024, Jan 21, 2020 and 1 more (4 updates tracked since 2016).

About Bonner General Hospital Inc. NPPES

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

BONNER GENERAL HOSPITAL INC. (NPI 1154563963), doing business as Bonner General Health, is a healthcare organization registered as a critical access in Sandpoint, Idaho and active in the NPI registry since March 2009. The organization lists John Hennessy, Ceo, as its authorized official.

NPPES Registry Identity

NPI1154563963
Entity TypeOrganization
Primary Taxonomy282NC0060X
Legal Business NameBONNER GENERAL HOSPITAL INC.
Location Address520 N 3RD AVESandpoint, ID 83864-1507
Mailing AddressPo Box 1343Sandpoint, ID 83864-0863 · (208) 265-1158 · Fax (208) 265-1277
Fax(208) 265-1277
Organization SubpartNo
Authorized OfficialJohn HennessyCeo · (208) 265-1100
Enumeration DateMarch 26, 2009
Last NPPES UpdateMarch 4, 20254 updates tracked since enumeration
NPPES CertifiedMarch 4, 2025
✔ NPI 1154563963 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Taxonomy Code282NC0060X
License✔ Licensed in ID · 22
Also ListedEmergency MedicineTaxonomy 207P00000X
Also ListedMedicare Defined Swing Bed UnitTaxonomy 275N00000X
520 N 3RD AVE, Sandpoint, ID 83864

Other Names 1

Doing Business AsBonner General Health

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Bonner General Hospital Inc. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by November 30, 2026

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateIdahoEnrollment IDO20040626000014Non-DME Part B · Clinic/Group PracticeDue dateNovember 30, 2026
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

77

Medicare enrollment records show 77 clinicians reassign Medicare billing to Bonner General Hospital Inc., which bills Medicare for the services they deliver. Of these, 5 practice at this address and 27 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 14

Diagnostic Radiology30
Nurse Practitioner15
Emergency Medicine11
Internal Medicine5
Orthopedic Surgery4
Family Practice3
Clinical Psychologist2
Clinical Social Worker1
6 other specialties6

Nearest to this location (20)

See all 77
Nurse Practitioner
NPI 1700669165
520 N 3RD AVE
Sandpoint, ID 83864
(208) 263-0649
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1881566602
520 N 3RD AVE
Sandpoint, ID 83864
(208) 265-2221
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1598720989
520 N 3RD AVE
Sandpoint, ID 83864
(208) 263-1441
✔ PECOS✔ Accepts MedicareSame address
Emergency Medicine
NPI 1487944336
520 N THIRD AVE
Sandpoint, ID 83864
(208) 263-1441
✔ PECOSSame address
Nurse Practitioner
NPI 1760827372
520 N 3RD AVE
Sandpoint, ID 83864
(208) 263-0649
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1104425149
606 N THIRD AVE STE 203
Sandpoint, ID 83864
(208) 265-1046
✔ PECOS✔ Accepts Medicare0.1 mi
Clinical Psychologist
NPI 1811776859
606 N THIRD AVE STE 203
Sandpoint, ID 83864
(208) 265-1090
✔ PECOS✔ Accepts Medicare0.1 mi
Clinical Psychologist
NPI 1528248333
606 N THIRD AVE STE 203
Sandpoint, ID 83864
(208) 265-1090
✔ PECOS✔ Accepts Medicare0.1 mi
Clinical Social Worker
NPI 1982076204
606 N 3RD AVE
Sandpoint, ID 83864
(208) 265-1046
✔ PECOS✔ Accepts Medicare0.1 mi
Nurse Practitioner
NPI 1104191089
606 N 3RD AVE STE 203
Sandpoint, ID 83864
(304) 276-9937
✔ PECOS✔ Accepts Medicare0.1 mi
Orthopedic Surgery
NPI 1164597431
606 N. 3RD AVENUE SUITE 201
Sandpoint, ID 83864
(208) 263-8597
✔ PECOS✔ Accepts Medicare0.1 mi
Orthopedic Surgery
NPI 1306830922
606 N 3RD AVE STE 201
Sandpoint, ID 83864
(208) 263-8597
✔ PECOS✔ Accepts Medicare0.1 mi
Mental Health Counselor
NPI 1467936039
423 N 3RD AVE STE 210
Sandpoint, ID 83864
(208) 265-2221
✔ PECOS✔ Accepts Medicare0.1 mi
Ophthalmology
NPI 1255399457
423 N 3RD AVE STE 110
Sandpoint, ID 83864
(208) 265-1011
✔ PECOS✔ Accepts Medicare0.1 mi
Internal Medicine
NPI 1194762732
423 N 3RD AVE STE 210
Sandpoint, ID 83864
(208) 263-6876
✔ PECOS✔ Accepts Medicare0.1 mi
Urology
NPI 1285605097
423 N 3RD AVE STE 110
Sandpoint, ID 83864
(208) 265-3342
✔ PECOS✔ Accepts Medicare0.1 mi
Family Practice
NPI 1023276896
423 N THIRD AVE
Sandpoint, ID 83864
(208) 263-1441
✔ PECOS✔ Accepts Medicare0.6 mi
Emergency Medicine
NPI 1942944566
520 N 3RD AVE
Sandpoint, ID 83864
(208) 263-1441
✔ PECOS✔ Accepts Medicare0.7 mi
Interventional Cardiology
NPI 1992751648
606 N 3RD AVE SUITE 203
Sandpoint, ID 83864
(208) 263-2505
✔ PECOS✔ Accepts Medicare0.7 mi
Internal Medicine
NPI 1316525561
1215 MICHIGAN ST STE B
Sandpoint, ID 83864
(208) 269-5578
✔ PECOS✔ Accepts Medicare1.0 mi
See all 77 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Bonner General Hospital Inc.'s NPI number?

The NPI number for Bonner General Hospital Inc. is 1154563963. It was assigned to this organization in the NPPES registry on March 26, 2009. The provider is doing business as Bonner General Health.

Where is Bonner General Hospital Inc. located?

Bonner General Hospital Inc. is located at 520 N 3rd Ave, Sandpoint, ID 83864. The listed phone number is (208) 263-1441.

What is Bonner General Hospital Inc.'s specialty?

The primary specialty registered for this NPI is General Acute Care Hospital, specializing in Critical Access, with taxonomy code 282NC0060X.

Is Bonner General Hospital Inc. enrolled in Medicare?

Yes. Bonner General Hospital Inc. is registered in the Medicare PECOS enrollment system.

When is Bonner General Hospital Inc.'s Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Idaho, Clinic/Group Practice) is due for revalidation by November 30, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Bonner General Hospital Inc.?

According to the CMS Revalidation Reassignment List (October 2026 release), 77 clinicians in 14 Medicare specialties reassign their Medicare billing to Bonner General Hospital Inc.. 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. The largest specialties are Diagnostic Radiology (30), Nurse Practitioner (15) and Emergency Medicine (11). Of these, 5 practice at this address and 27 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Bonner General Hospital Inc. accept?

Health plans from Ambetter Health, Molina Healthcare, PacificSource Health Plans and Providence Health Plan list Bonner General Hospital Inc. 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 Bonner General Hospital Inc. was last updated on March 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.