PATRICIA BONANNO
NPI 1336872100
Nurse Practitioner - Family in Marlborough, MA
About Patricia Bonanno NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PATRICIA BONANNO (NPI 1336872100) is an individual family provider in Marlborough, Massachusetts, licensed in Massachusetts (RN2345626) and active in the NPI registry since July 2022. She is enrolled in Medicare PECOS, maintains a secondary practice location in Ashland, and is a graduate of Other (2023).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Patricia Bonanno 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.
Medicare Billing Reassignment
Medicare enrollment records show Patricia Bonanno reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Medway, MA 02053
- Reassigned Medicare billing, Massachusetts enrollment
- 186 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 01752 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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 Patricia Bonanno's NPI number?
The NPI number for Patricia Bonanno is 1336872100. It was assigned to this individual provider in the NPPES registry on July 7, 2022.
Where is Patricia Bonanno located?
Patricia Bonanno practices at 221 Boston Post Rd E Ste 365A, Marlborough, MA 01752. The listed phone number is (508) 816-5758.
What is Patricia Bonanno's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Patricia Bonanno enrolled in Medicare?
Yes. Patricia Bonanno 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.
Which organization bills Medicare for Patricia Bonanno's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Patricia Bonanno reassigns Medicare benefits to Minuteclinic Diagnostic Of Massachusetts LLC (Medway, MA). 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 Patricia Bonanno'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 Patricia Bonanno was last updated on June 8, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Patricia Bonanno · NPI 1336872100
Family physician in Marlborough, Massachusetts. Individual provider, active in the CMS NPPES registry since July 7, 2022.
## Identity
- **NPI:** 1336872100 (Entity type: Individual)
- **Enumerated:** July 7, 2022
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** RN2345626 (Massachusetts)
- **Sole proprietor:** No
## Practice location
- **Address:** 221 BOSTON POST RD E STE 365A, Marlborough, MA 01752-4819
- **Phone:** (508) 816-5758
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Minuteclinic Diagnostic Of Massachusetts LLC (NPI 1457470858, Medway, MA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2023
## Record status
- **NPPES last updated:** June 8, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1336872100) · Data from the CMS NPPES public registry.