JAEDYN BONNER
NPI 1548932973
Psychologist in Wentzville, MO

Active since October 04, 2021PECOS EnrolledAccepts Medicare Assignment
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: August 16, 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, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Jaedyn Bonner 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 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.

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 system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Jaedyn Bonner accept?

Health plans from 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 4 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.