BONNY JEAN WAGGONER FNP
NPI 1427639301
Nurse Practitioner - Family in Mountain View, CA
About Bonny Jean Waggoner Fnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BONNY JEAN WAGGONER FNP (NPI 1427639301) is an individual family provider in Mountain View, California, licensed in California (95026506) and active in the NPI registry since April 2021. She is enrolled in Medicare PECOS, maintains a secondary practice location in Trenton, and is a graduate of Other (2020).
NPPES Registry Identity
Specialties & Licenses 2
Other Names 1
Secondary Practice Location 1
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
Bonny Jean Waggoner Fnp 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 94040 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
MOUNTAIN VIEW, CA 94040
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 Bonny Waggoner's NPI number?
The NPI number for Bonny Waggoner is 1427639301. It was assigned to this individual provider in the NPPES registry on April 21, 2021. The provider is also known as Bonny Jean Worland.
Where is Bonny Waggoner located?
Bonny Waggoner practices at 701 E El Camino Real, Mountain View, CA 94040. The listed phone number is (650) 404-8370.
What is Bonny Waggoner's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Bonny Waggoner enrolled in Medicare?
Yes. Bonny Waggoner 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.
When was this NPI record last updated?
The NPPES record for Bonny Waggoner was last updated on December 21, 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.
# Bonny Jean Waggoner, FNP · NPI 1427639301
Family physician in Mountain View, California. Individual provider, active in the CMS NPPES registry since April 21, 2021.
## Identity
- **NPI:** 1427639301 (Entity type: Individual)
- **Enumerated:** April 21, 2021
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 95026506 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 701 E EL CAMINO REAL, Mountain View, CA 94040-2833
- **Phone:** (650) 404-8370
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2020
## Record status
- **NPPES last updated:** December 21, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1427639301) · Data from the CMS NPPES public registry.