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BONNIE NADAENE GRUDE
NPI 1154905321
Nurse Practitioner - Family in Shawnee, OK

Active since May 12, 2021PECOS EnrolledAccepts Medicare Assignment
3700 N KICKAPOO AVE, SHAWNEE, OK 74804(405) 273-6383(405) 214-1078 Get Directions Write a Review

NPPES record last updated: April 1, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 1, 2025, Jul 11, 2022, May 12, 2021 (3 updates tracked since 2021).

About Bonnie Nadaene Grude NPPES

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

BONNIE NADAENE GRUDE (NPI 1154905321) is an individual family provider in Shawnee, Oklahoma, licensed in Oklahoma (201526) and active in the NPI registry since May 2021. She is enrolled in Medicare PECOS, is affiliated with Ssm Health St Anthony Hospital - Oklahoma City, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1154905321
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameBONNIE NADAENE GRUDE
Location Address3700 N KICKAPOO AVEShawnee, OK 74804-1707
Mailing Address701 Ne 36th StOklahoma City, OK 73105-7203
Phone(405) 273-6383
Fax(405) 214-1078
Sole ProprietorYes
Medical School CMSOtherGraduated 2020
Enumeration DateMay 12, 2021
Last NPPES UpdateApril 1, 20253 updates tracked since enumeration
NPPES CertifiedApril 1, 2025
✔ NPI 1154905321 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in OK · 201526
3700 N KICKAPOO AVE, Shawnee, OK 74804
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Sunflower Health Plan and more.Insurance ›

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

Bonnie Nadaene Grude 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 ID4688823479
PECOS Enrollment IDI20221202000235
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 6

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.

Detection test by immunoassay with direct visual observation for influenza virus 87804
This is a test that identifies the influenza virus in your body. It works by using an immunoassay, a method that detects the presence of the virus through an immune response. The results are directly observable, making it a quick and efficient way to diagnose flu.
27 services14 patients
Detection test by immunoassay with direct visual observation for severe acute respiratory syndrome coronavirus 2 (covid-19) 87811
This is a test to detect COVID-19, the virus causing severe respiratory illness. It uses a method called immunoassay, which identifies the virus by its unique proteins. The test is directly observed for accuracy. It helps determine if you're currently infected.
25 services25 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
21 services21 patients
Detection test by immunoassay with direct visual observation for streptococcus, group a (strep) 87880
A detection test by immunoassay for Group A Strep is a quick procedure to identify a bacterial infection in your throat. It involves taking a throat swab and applying it to a test strip, which changes color if Strep bacteria are present.
20 services20 patients
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.
19 services16 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
15 services15 patients

Hospital Affiliations CMS Care Compare 2

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

Ssm Health St Anthony Hospital - Oklahoma City

Acute Care Hospitals · Oklahoma City, OK
2/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number370037
Location1000 North Lee AvenueOklahoma City, OK 73101 · Oklahoma County
Emergency services Birthing friendly

Ssm Health St Anthony Hospital - Shawnee

Acute Care Hospitals · Shawnee, OK
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number370149
Location1102 W MacarthurShawnee, OK 74804 · Pottawatomie County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 74804 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
$82.46 typical visit price
range $53.00 – $162.61
Typical copayment $20.61 (range $13.25 – $40.65)
Most-billed visit code 99203
Established Patient
$94.27 typical visit price
range $16.68 – $132.40
Typical copayment $23.56 (range $4.17 – $33.10)
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.

Other Providers at the Same Location NPPES 12

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

MIDWEST CITY HMA PHYSICIAN MANAGEMENT, LLC
Internal Medicine (Cardiovascular Disease)
3700 N KICKAPOO AVE, SUITE 104
SHAWNEE, OK 74804
Pottawatomie County (405) 273-6383
SAINTS MEDICAL GROUP, LLC
Clinic/Center (Rural Health)
3700 N KICKAPOO AVE
SHAWNEE, OK 74804
Pottawatomie County (405) 273-6383
VALIR HEALTH LLC
Clinic/Center (Medical Specialty)
3700 N KICKAPOO AVE
SHAWNEE, OK 74804
Pottawatomie County (405) 214-9808
BRANDI STRAYHORN
Physician Assistant (Medical)
3700 N KICKAPOO AVE
SHAWNEE, OK 74804
Pottawatomie County (405) 273-6383
SHAWNEE MRI ASSOCIATES, L.L.C.
Clinic/Center (Magnetic Resonance Imaging (MRI))
3700 N KICKAPOO AVE, SUITE 116
SHAWNEE, OK 74804
Pottawatomie County (405) 275-6747
FAMILY MEDICINE SPECIALISTS, P.C.
Family Medicine
3700 N KICKAPOO AVE, SUITE 124
SHAWNEE, OK 74804
Pottawatomie County (405) 273-6383
MIDWEST CITY HMA PHYSICIAN MANAGEMENT LLC
Internal Medicine
3700 N KICKAPOO AVE, SUITE 104
SHAWNEE, OK 74804
Pottawatomie County (405) 273-6383
HEARTLAND HOSPICE-SHAWNEE
Hospice Care, Community Based
3700 N KICKAPOO AVE, SUITE 104
SHAWNEE, OK 74804
Pottawatomie County (405) 214-6442

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 Grude's NPI number?

The NPI number for Bonnie Grude is 1154905321. It was assigned to this individual provider in the NPPES registry on May 12, 2021.

Where is Bonnie Grude located?

Bonnie Grude practices at 3700 N Kickapoo Ave, Shawnee, OK 74804. The listed phone number is (405) 273-6383.

What is Bonnie Grude's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Bonnie Grude enrolled in Medicare?

Yes. Bonnie Grude 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.

What insurance does Bonnie Grude accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Sunflower Health Plan, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 4 other insurers list Bonnie Grude 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.

Is Bonnie Grude affiliated with any hospitals?

According to CMS data, Bonnie Grude is affiliated with Ssm Health St Anthony Hospital - Oklahoma City and Ssm Health St Anthony Hospital - Shawnee.

When was this NPI record last updated?

The NPPES record for Bonnie Grude was last updated on April 1, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.