HEALTHCARE STAT OF NEWCASTLE
NPI 1346796604
Nurse Practitioner - Family in Newcastle, OK
About Healthcare Stat Of Newcastle NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
HEALTHCARE STAT OF NEWCASTLE (NPI 1346796604) is a healthcare organization registered as a family in Newcastle, Oklahoma and active in the NPI registry since August 2016. The organization holds a CLIA Microscopy certificate valid through August 16, 2028 and lists Shawn P Bonilla, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Healthcare Stat Of Newcastle is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
6Medicare enrollment records show 6 clinicians reassign Medicare billing to Healthcare Stat Of Newcastle, which bills Medicare for the services they deliver. Of these, 3 practice within 10 miles. They are listed nearest first.
Clinicians, nearest first (6)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate for Provider-Performed Microscopy Procedures (PPMP) 37D2117492
Healthcare Stat Of Newcastle · Newcastle, OKFrequently 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 Healthcare Stat Of Newcastle LLC's NPI number?
The NPI number for Healthcare Stat Of Newcastle LLC is 1346796604. It was assigned to this organization in the NPPES registry on August 28, 2016. The provider is doing business as Healthcare Stat Of Newcastle.
Where is Healthcare Stat Of Newcastle LLC located?
Healthcare Stat Of Newcastle LLC is located at 2120 N Main St Suite B, Newcastle, OK 73065. The listed phone number is (405) 792-0200.
What is Healthcare Stat Of Newcastle LLC's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Healthcare Stat Of Newcastle LLC enrolled in Medicare?
Yes. Healthcare Stat Of Newcastle LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Healthcare Stat Of Newcastle LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 6 clinicians, all in Nurse Practitioner, reassign their Medicare billing to Healthcare Stat Of Newcastle LLC. 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. Of these, 3 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Healthcare Stat Of Newcastle LLC hold a CLIA laboratory certificate?
Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 37D2117492) is associated with this NPI, valid through August 16, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Healthcare Stat Of Newcastle LLC accept?
Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Sunflower Health Plan, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 1 other insurer list Healthcare Stat Of Newcastle LLC 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 Healthcare Stat Of Newcastle LLC was last updated on August 28, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.
# Healthcare Stat Of Newcastle · NPI 1346796604
Family organization in Newcastle, Oklahoma. Organization record, active in the CMS NPPES registry since August 28, 2016.
## Identity
- **NPI:** 1346796604 (Entity type: Organization)
- **Enumerated:** August 28, 2016
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **Legal business name:** Healthcare Stat Of Newcastle Llc
- **Organization subpart:** No
- **Authorized official:** Shawn Bonilla, OWNER
## Practice location
- **Address:** 2120 N MAIN ST SUITE B, Newcastle, OK 73065
- **Phone:** (405) 792-0200 · **Fax:** (405) 701-5421
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 6 clinicians (Nurse Practitioner) reassign Medicare billing to this organization (form CMS-855R); 3 practice within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 28, 2016
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1346796604) · Data from the CMS NPPES public registry.