MS. OLESEA BONANNO ARNP
NPI 1386128056
Nurse Practitioner - Family in Lake Oswego, OR

Active since September 19, 2018PECOS EnrolledAccepts Medicare Assignment
4004 KRUSE WAY PL STE 300, LAKE OSWEGO, OR 97035(503) 216-1500 Get Directions Write a Review

NPPES record last updated: October 27, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 27, 2023, Jan 17, 2020, Sep 13, 2019 and 1 more (4 updates tracked since 2018).

About Ms. Olesea Bonanno Arnp NPPES

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

MS. OLESEA BONANNO ARNP (NPI 1386128056) is an individual family provider in Lake Oswego, Oregon, licensed in Oregon (10004854) and active in the NPI registry since September 2018. She is enrolled in Medicare PECOS, is affiliated with Providence St Vincent Medical Center, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1386128056
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMS. OLESEA BONANNOCredential: ARNP
Location Address4004 KRUSE WAY PL STE 300Lake Oswego, OR 97035-2479
Mailing AddressPo Box 3158Portland, OR 97208-3158 · (503) 215-6494
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateSeptember 19, 2018
Last NPPES UpdateOctober 27, 20234 updates tracked since enumeration
NPPES CertifiedOctober 27, 2023
NPI 1386128056 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
Licenses Licensed in OR · 10004854 Licensed in FL · ARNP9380372
4004 KRUSE WAY PL STE 300, Lake Oswego, OR 97035

Other Identifiers 2

Medicaid102291000FL
OtherK9170FL · Medicare

Accepted 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

Ms. Olesea Bonanno Arnp 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 ID5496096083
PECOS Enrollment IDI20230531000597
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 8

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.

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.
114 services99 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
82 services76 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
53 services48 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
42 services36 patients
Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
21 services20 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
18 services18 patients

Hospital Affiliations CMS Care Compare 5

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

Providence St Vincent Medical Center

Acute Care Hospitals · Portland, OR
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number380004
Location9205 SW Barnes RoadPortland, OR 97225 · Washington County
Emergency services Birthing friendly

Providence Newberg Medical Center

Acute Care Hospitals · Newberg, OR
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number380037
Location1001 Providence DriveNewberg, OR 97132 · Yamhill County
Emergency services Birthing friendly

Providence Willamette Falls Medical Center

Acute Care Hospitals · Oregon City, OR
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number380038
Location1500 Division StreetOregon City, OR 97045 · Clackamas County
Emergency services Birthing friendly

Providence Portland Medical Center

Acute Care Hospitals · Portland, OR
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number380061
Location4805 NE Glisan StreetPortland, OR 97213 · Multnomah County
Emergency services Birthing friendly

Providence Milwaukie Hospital

Acute Care Hospitals · Milwaukie, OR
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number380082
Location10150 SE 32nd AvenueMilwaukie, OR 97222 · Clackamas County

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97035 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
$90.51 typical visit price
range $58.99 – $176.88
Typical copayment $22.62 (range $14.74 – $44.22)
Most-billed visit code 99203
Established Patient
$103.51 typical visit price
range $19.32 – $144.79
Typical copayment $25.87 (range $4.83 – $36.19)
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 20

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

Psychologist (Clinical)
4004 KRUSE WAY PL STE 300
LAKE OSWEGO, OR 97035
Family Medicine
4004 KRUSE WAY PL STE 300
LAKE OSWEGO, OR 97035
Dietitian, Registered
4004 KRUSE WAY PL STE 300
LAKE OSWEGO, OR 97035
Nurse Practitioner (Family)
4004 KRUSE WAY PL STE 300
LAKE OSWEGO, OR 97035
Internal Medicine
4004 KRUSE WAY PL STE 300
LAKE OSWEGO, OR 97035
Physical Therapist
4004 KRUSE WAY PL STE 300
LAKE OSWEGO, OR 97035
Family Medicine
4004 KRUSE WAY PL STE 300
LAKE OSWEGO, OR 97035
Internal Medicine
4004 KRUSE WAY PL STE 300
LAKE OSWEGO, OR 97035

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 Olesea Bonanno's NPI number?

The NPI number for Olesea Bonanno is 1386128056. It was assigned to this individual provider in the NPPES registry on September 19, 2018.

Where is Olesea Bonanno located?

Olesea Bonanno practices at 4004 Kruse Way Pl Ste 300, Lake Oswego, OR 97035. The listed phone number is (503) 216-1500.

What is Olesea Bonanno's specialty?

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

Is Olesea Bonanno enrolled in Medicare?

Yes. Olesea 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.

What insurance does Olesea Bonanno accept?

Health plans from AvMed list Olesea Bonanno 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 Olesea Bonanno affiliated with any hospitals?

According to CMS data, Olesea Bonanno is affiliated with Providence St Vincent Medical Center, Providence Newberg Medical Center, Providence Willamette Falls Medical Center, Providence Portland Medical Center and Providence Milwaukie Hospital.

When was this NPI record last updated?

The NPPES record for Olesea Bonanno was last updated on October 27, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.