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

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: October 18, 2026.

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, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignment

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

North Shore Hematology Oncology Associates PC
13 mi
Specialist
49 NESCONSET HWY
Port Jefferson Station, NY 11776
  • Reassigned Medicare billing, New York enrollment
  • 636 clinicians in this Medicare group
NPI 1396794574 (631) 751-3000

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 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)
6277 JERICHO TPKE
COMMACK, NY 11725
Suffolk County (631) 462-6644
MOHAMMED R AZAZ MD
Internal Medicine
6277 JERICHO TPKE
COMMACK, NY 11725
Suffolk County (631) 462-6644
JONATHAN CATRONA PA-C
Physician Assistant
6277 JERICHO TPKE
COMMACK, NY 11725
Suffolk County (631) 462-6644
NORTH SHORE CHILD PSYCHIATRY PC
Psychiatry & Neurology (Child & Adolescent Psychiatry)
6277 JERICHO TPKE
COMMACK, NY 11725
Suffolk County (631) 628-6868
MID-SUFFOLK MEDICAL CARE PC
Legal Medicine
6277 JERICHO TPKE
COMMACK, NY 11725
Suffolk County (631) 462-6644

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 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.

Where is Kristin Bonura located?

Kristin Bonura practices at 6277 Jericho Tpke, Commack, NY 11725. The listed phone number is (631) 462-6644.

What is Kristin Bonura's specialty?

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

Is Kristin Bonura enrolled in Medicare?

Yes. Kristin Bonura 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.

Which organization bills Medicare for Kristin Bonura's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kristin Bonura reassigns Medicare benefits to North Shore Hematology Oncology Associates PC (Port Jefferson Station, NY). 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 Kristin Bonura's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Kristin Bonura was last updated on September 21, 2022. 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.