JAEDYN BONNER
NPI 1548932973
Psychologist in Wentzville, MO

Active since October 04, 2021PECOS Enrolled
1032 CROSSWINDS CT, WENTZVILLE, MO 63385(844) 853-8937 Get Directions Write a Review

NPPES record last updated: October 6, 2021. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Jaedyn Bonner NPPES

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

JAEDYN BONNER (NPI 1548932973) is an individual psychologist in Wentzville, Missouri, licensed in Missouri (2021039868) and active in the NPI registry since October 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1548932973
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameJAEDYN BONNER
Location Address1032 CROSSWINDS CTWentzville, MO 63385-4836
Mailing Address1800 CommunityClinton, MO 64735-8804 · (844) 853-8937
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateOctober 4, 2021
Last NPPES UpdateOctober 6, 2021
NPPES CertifiedOctober 6, 2021
✔ NPI 1548932973 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License✔ Licensed in MO · 2021039868
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
1032 CROSSWINDS CT, Wentzville, MO 63385

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)

Jaedyn Bonner is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2264817865
PECOS Enrollment IDI20220919000903
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.

Medicare Billing Reassignment

Medicare enrollment records show Jaedyn Bonner reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Federally Qualified Health Center (FQHC)
1032 CROSSWINDS CT
Wentzville, MO 63385
  • Reassigned Medicare billing, Missouri enrollment
  • 968 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.

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.

Social Worker (Clinical)
1032 CROSSWINDS CT
WENTZVILLE, MO 63385
Dentist
1032 CROSSWINDS CT
WENTZVILLE, MO 63385
Social Worker (Clinical)
1032 CROSSWINDS CT
WENTZVILLE, MO 63385
Counselor (Professional)
1032 CROSSWINDS CT
WENTZVILLE, MO 63385
Counselor (Professional)
1032 CROSSWINDS CT
WENTZVILLE, MO 63385
Dental Hygienist
1032 CROSSWINDS CT
WENTZVILLE, MO 63385
Counselor (Mental Health)
1032 CROSSWINDS CT
WENTZVILLE, MO 63385
Nurse Practitioner (Psychiatric/Mental Health)
1032 CROSSWINDS CT
WENTZVILLE, MO 63385

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 Jaedyn Bonner's NPI number?

The NPI number for Jaedyn Bonner is 1548932973. It was assigned to this individual provider in the NPPES registry on October 4, 2021.

Where is Jaedyn Bonner located?

Jaedyn Bonner practices at 1032 Crosswinds Ct, Wentzville, MO 63385. The listed phone number is (844) 853-8937.

What is Jaedyn Bonner's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

Is Jaedyn Bonner enrolled in Medicare?

Yes. Jaedyn Bonner is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Jaedyn Bonner's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jaedyn Bonner reassigns Medicare benefits to Compass Health, Inc. (Wentzville, MO). 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 Jaedyn Bonner's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jaedyn Bonner accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Kansas City and Medica list Jaedyn Bonner 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 Jaedyn Bonner was last updated on October 6, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.