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KATRINA L BONNIE NP
NPI 1942615026
Nurse Practitioner - Family in Oswego, NY

Active since June 26, 2014PECOS EnrolledAccepts Medicare Assignment
86.65/100
CMS Quality Rating
300 STATE ROUTE 104, OSWEGO, NY 13126(315) 342-0030(315) 342-0258 Get Directions Write a Review

NPPES record last updated: April 20, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Apr 4, 2022, Jul 28, 2020 (2 updates tracked since 2020).

About Katrina L Bonnie Np NPPES

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

KATRINA L BONNIE NP (NPI 1942615026) is an individual family provider in Oswego, New York, licensed in New York (338902) and active in the NPI registry since June 2014. She is enrolled in Medicare PECOS, is affiliated with Oswego Hospital, and is a graduate of Other (2014).

NPPES Registry Identity

NPI1942615026
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameKATRINA L BONNIECredential: NP
Location Address300 STATE ROUTE 104Oswego, NY 13126-2956
Mailing Address300 State Route 104Oswego, NY 13126-2956 · (315) 342-0030 · Fax (315) 216-6669
Phone(315) 342-0030
Fax(315) 342-0258
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateJune 26, 2014
Last NPPES UpdateApril 20, 20232 updates tracked since enumeration
NPPES CertifiedApril 20, 2023
✔ NPI 1942615026 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in NY · 338902
300 STATE ROUTE 104, Oswego, NY 13126
Open in Google Maps ↗

Other Names 1

Former Name (1)Katrina L Wavle

Other Identifiers 1

Medicaid03910592NY

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

Katrina L Bonnie 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 ID2466670633
PECOS Enrollment IDI20140829001207
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 3

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.
72 services52 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.
44 services39 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
22 services18 patients

Hospital Affiliations CMS Care Compare

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

Oswego Hospital

Acute Care Hospitals · Oswego, NY
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330218
Location110 West Sixth StreetOswego, NY 13126 · Oswego County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 13126 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
$84.93 typical visit price
range $54.87 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.08 typical visit price
range $17.54 – $136.14
Typical copayment $24.27 (range $4.38 – $34.03)
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.

86.65/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality99.98
Promoting Interoperability100
Improvement Activities40
Cost55.54

Reported Quality Measures

Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
53%59 patients3/55-star benchmark: 100%
Pneumococcal Vaccination Status for Older Adults
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
80%142 patients4/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
94%184 patients4/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Nebulizer, with compressor E0570
DME-Other DME · category DE000N
1 supplier12 claims12 services$3.57 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier19 claims19 services$48.43 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 7

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

PADMA RAM MD
Internal Medicine
300 STATE ROUTE 104, SUITE 1
OSWEGO, NY 13126
Oswego County (315) 342-0030
NABINA BHATTARAI
Physician Assistant
300 STATE ROUTE 104
OSWEGO, NY 13126
Oswego County (315) 342-0030
DR. PADMA RAM MEDICAL SERVICES, LLC
Clinic/Center (Rural Health)
300 STATE ROUTE 104
OSWEGO, NY 13126
Oswego County (315) 342-0030
LAKE ONTARIO PROMPT MEDICAL CARE, PLLC
Clinic/Center (Urgent Care)
300 STATE ROUTE 104, SUITE 2
OSWEGO, NY 13126
Oswego County (315) 216-4036
DANIELLE MULCAHEY L.P.N
Licensed Practical Nurse
300 STATE ROUTE 104, SUITE 1
OSWEGO, NY 13126
Oswego County (315) 342-0030
DR. PADMA RAM MEDICAL SERVICES, LLC
Internal Medicine
300 STATE ROUTE 104
OSWEGO, NY 13126
Oswego County (315) 342-0030
MRS. MALLORY MARIE LARSON LPN
Licensed Practical Nurse
300 STATE ROUTE 104, SUITE 1
OSWEGO, NY 13126
Oswego County (315) 342-0030

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 Katrina Bonnie's NPI number?

The NPI number for Katrina Bonnie is 1942615026. It was assigned to this individual provider in the NPPES registry on June 26, 2014. The provider is also known as Katrina L Wavle.

Where is Katrina Bonnie located?

Katrina Bonnie practices at 300 State Route 104, Oswego, NY 13126. The listed phone number is (315) 342-0030.

What is Katrina Bonnie's specialty?

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

Is Katrina Bonnie enrolled in Medicare?

Yes. Katrina Bonnie 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.

Is Katrina Bonnie affiliated with any hospitals?

According to CMS data, Katrina Bonnie is affiliated with Oswego Hospital.

When was this NPI record last updated?

The NPPES record for Katrina Bonnie was last updated on April 20, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.