BONNIE JANE GONZALES CNM
NPI 1548891005
Advanced Practice Midwife in Fort Defiance, AZ
About Bonnie Jane Gonzales Cnm NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BONNIE JANE GONZALES CNM (NPI 1548891005) is an individual advanced practice midwife in Fort Defiance, Arizona and active in the NPI registry since February 2020. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Bonnie Jane Gonzales Cnm is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
2Medicare enrollment records show Bonnie Gonzales reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Fort Defiance, AZ 86504
- Reassigned Medicare billing, Texas enrollment
- 518 clinicians in this Medicare group
Highlands Ranch, CO 80129
- Reassigned Medicare billing, Colorado enrollment
- 1,270 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 86504 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.
FORT DEFIANCE, AZ 86504
FORT DEFIANCE, AZ 86504
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 Gonzales's NPI number?
The NPI number for Bonnie Gonzales is 1548891005. It was assigned to this individual provider in the NPPES registry on February 3, 2020. The provider is also known as Bonnie Wanlass Cnm.
Where is Bonnie Gonzales located?
Bonnie Gonzales practices at Corner Of Route N12 And N7, Fort Defiance, AZ 86504. The listed phone number is (928) 729-8000.
What is Bonnie Gonzales's specialty?
The primary specialty registered for this NPI is Advanced Practice Midwife with taxonomy code 367A00000X.
Is Bonnie Gonzales enrolled in Medicare?
Yes. Bonnie Gonzales is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Bonnie Gonzales's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Bonnie Gonzales reassigns Medicare benefits to 2 organizations: The Fort Defiance Indian Hospital Board, Incorporation (Fort Defiance, AZ) and Intermountain Medical Group Denver, LLC (Highlands Ranch, CO). Each 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 Bonnie Gonzales's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Bonnie Gonzales accept?
Health plans from Blue Cross Blue Shield of Arizona list Bonnie Gonzales 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 Bonnie Gonzales was last updated on August 24, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Bonnie Jane Gonzales, CNM · NPI 1548891005
Advanced Practice Midwife physician in Fort Defiance, Arizona. Individual provider, active in the CMS NPPES registry since February 3, 2020.
## Identity
- **NPI:** 1548891005 (Entity type: Individual)
- **Enumerated:** February 3, 2020
- **Primary specialty:** Advanced Practice Midwife · taxonomy 367A00000X
- **Sole proprietor:** Yes
## Practice location
- **Address:** CORNER OF ROUTE N12 AND N7, Fort Defiance, AZ 86504
- **Phone:** (928) 729-8000
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): The Fort Defiance Indian Hospital Board, Incorporation (NPI 1477876639, Fort Defiance, AZ); Intermountain Medical Group Denver, LLC (NPI 1891461240, Highlands Ranch, CO) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 24, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1548891005) · Data from the CMS NPPES public registry.