KRISTIN BONURA
NPI 1629791124
Nurse Practitioner - Adult Health in Commack, NY

Q: What is Kristin Bonura's NPI number?

The NPI number for Kristin Bonura is 1629791124. It was assigned to this individual provider in the NPPES registry on September 21, 2022.

Q: What is Kristin Bonura's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Q: When was this NPI record last updated?

The NPPES record for Kristin Bonura was last updated on September 21, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since September 21, 2022PECOS EnrolledAccepts Medicare Assignment

6277 JERICHO TPKE, COMMACK, NY 11725(631) 462-6644 Get Directions Write a Review

NPPES record last updated: September 21, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Kristin Bonura NPPES

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

KRISTIN BONURA (NPI 1629791124) is an individual adult health provider in Commack, New York, licensed in New York (310922) and active in the NPI registry since September 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1629791124

Entity TypeIndividualFemale

Primary Taxonomy363LA2200X

Provider Legal NameKRISTIN BONURA

Location Address6277 JERICHO TPKECommack, NY 11725-2837

Mailing Address575 Bayport AveBayport, NY 11705-1418 · (631) 885-2054

Phone(631) 462-6644

Sole ProprietorNo

Medical School CMSOtherGraduated 2022

Enumeration DateSeptember 21, 2022

NPPES CertifiedSeptember 21, 2022

✔ NPI 1629791124 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LA2200X

License✔ Licensed in NY · 310922

6277 JERICHO TPKE, Commack, NY 11725

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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

Kristin Bonura 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 ID9436524766

PECOS Enrollment IDI20230418002483

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11725 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

$105.06 typical visit price

range $67.40 – $203.53

Typical copayment $26.26 (range $16.85 – $50.88)

Most-billed visit code 99203

Established Patient

$117.62 typical visit price

range $21.66 – $164.45

Typical copayment $29.40 (range $5.41 – $41.11)

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 5

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

CARALYN DIGANGI NP

Nurse Practitioner (Adult Health)