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MRS. BONNIE JEAN COBURN NP
NPI 1720165103
Nurse Practitioner - Family in Decatur, IL

Active since November 01, 2006PECOS EnrolledAccepts Medicare Assignment
91.8/100
CMS Quality Rating
4455 E US ROUTE 36, DECATUR, IL 62521(217) 588-2600 Get Directions Write a Review

NPPES record last updated: October 28, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 6, 2023, Aug 16, 2022, Jul 7, 2020 and 2 more (5 updates tracked since 2018).

About Mrs. Bonnie Jean Coburn Np NPPES

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

MRS. BONNIE JEAN COBURN NP (NPI 1720165103) is an individual family provider in Decatur, Illinois, licensed in Illinois (277000529) and active in the NPI registry since November 2006. She is enrolled in Medicare PECOS, is affiliated with St Johns Hospital, and maintains a secondary practice location in Decatur.

NPPES Registry Identity

NPI1720165103
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMRS. BONNIE JEAN COBURNCredential: NP
Location Address4455 E US ROUTE 36Decatur, IL 62521-5003
Mailing Address4965 E Lost Bridge RdDecatur, IL 62521-5139 · (217) 864-5531 · Fax (217) 864-2449
Phone(217) 588-2600
Sole ProprietorNo
Medical School CMSOtherGraduated 2006
Enumeration DateNovember 1, 2006
Last NPPES UpdateOctober 28, 20255 updates tracked since enumeration
NPPES CertifiedOctober 28, 2025
✔ NPI 1720165103 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in IL · 277000529
Also ListedNurse PractitionerTaxonomy 363L00000X · License 209006142 (IL)
4455 E US ROUTE 36, Decatur, IL 62521
Open in Google Maps ↗

Secondary Practice Location 1

Location 14965 E Lost Bridge RdDecatur, IL 62521-5139 · Phone (217) 864-5531 · Fax (217) 864-2449

Other Identifiers 5

Medicaid041292879IL
Medicaid036102377 1IL
Other433990IL · Medicare Group
Medicaid1497762959 1IL
OtherP00678744IL · Railroad Medicare

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter Health, Ambetter Health of Delaware.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

Mrs. Bonnie Jean Coburn Np 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 ID1951309558
PECOS Enrollment IDI20061114000644
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.

Areas of Expertise CMS Part B claims 7

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
112 services105 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
101 services96 patients
Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen 87635
This is a lab test that detects the presence of COVID-19 in your body. It uses a technique to amplify the virus's genetic material, either DNA or RNA, making it easier to identify. A positive result indicates an active infection.
43 services42 patients
Detection test by nucleic acid for strep (streptococcus, group a), amplified probe technique 87651
This test detects Group A Streptococcus bacteria in your body. It uses an amplified probe technique, which amplifies the bacteria's nucleic acid, making it easier to identify. This test helps diagnose conditions like strep throat or scarlet fever.
32 services31 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
25 services25 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
23 services23 patients

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

St Johns Hospital

Acute Care Hospitals · Springfield, IL
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number140053
Location800 E Carpenter StSpringfield, IL 62769 · Sangamon County
Emergency services Birthing friendly

Decatur Memorial Hospital

Acute Care Hospitals · Decatur, IL
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number140135
Location2300 North Edward StreetDecatur, IL 62526 · Macon County
Emergency services Birthing friendly

St Marys Hospital

Acute Care Hospitals · Decatur, IL
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140166
Location1800 E Lake Shore DrDecatur, IL 62521 · Macon County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62521 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
$85.71 typical visit price
range $54.80 – $168.44
Typical copayment $21.42 (range $13.70 – $42.11)
Most-billed visit code 99203
Established Patient
$97.25 typical visit price
range $17.16 – $136.56
Typical copayment $24.31 (range $4.29 – $34.14)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

91.8/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality75.59
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 4

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

JENNIFER K FOGLE APN
Nurse Practitioner (Family)
4455 E US ROUTE 36
DECATUR, IL 62521
Macon County (217) 876-5320
REBECCA KATHLEEN MILLER PA
Physician Assistant
4455 E US ROUTE 36
DECATUR, IL 62521
Macon County (217) 876-5320
NICHOLAS D RAMEY APRN
Nurse Practitioner (Family)
4455 E US ROUTE 36
DECATUR, IL 62521
Macon County (217) 876-5320
BARBARA APPLEMAN GRAHAM FNP-BC
Nurse Practitioner (Family)
4455 E US ROUTE 36
DECATUR, IL 62521
Macon County (217) 876-5320

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 Coburn's NPI number?

The NPI number for Bonnie Coburn is 1720165103. It was assigned to this individual provider in the NPPES registry on November 1, 2006.

Where is Bonnie Coburn located?

Bonnie Coburn practices at 4455 E Us Route 36, Decatur, IL 62521. The listed phone number is (217) 588-2600.

What is Bonnie Coburn's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Bonnie Coburn enrolled in Medicare?

Yes. Bonnie Coburn 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 Bonnie Coburn accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Home State Health list Bonnie Coburn 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.

Is Bonnie Coburn affiliated with any hospitals?

According to CMS data, Bonnie Coburn is affiliated with St Johns Hospital, Decatur Memorial Hospital and St Marys Hospital.

When was this NPI record last updated?

The NPPES record for Bonnie Coburn was last updated on October 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.