| Bonnie Nadaene Grude, | |
|
3700 N Kickapoo Ave, Shawnee, OK 74804-1707 | |
| (405) 273-6383 | |
| (405) 214-1078 |
| Full Name | Bonnie Nadaene Grude |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 5 Years |
| Location | 3700 N Kickapoo Ave, Shawnee, Oklahoma |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154905321 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 201526 (Oklahoma) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Ssm Health St Anthony Hospital - Shawnee | Shawnee, OK | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Williams Medical Group Practice, Llc | 3375832157 | 162 |
| Saints Medical Group, Llc | 7012914898 | 395 |
| Entity Name | Saints Medical Group, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1437195922 PECOS PAC ID: 7012914898 Enrollment ID: O20061109000189 |
| Entity Name | Simple Clinic, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1871035022 PECOS PAC ID: 2961545207 Enrollment ID: O20100208000825 |
| Entity Name | Williams Medical Group Practice Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1346608809 PECOS PAC ID: 3375832157 Enrollment ID: O20181228001300 |
| Mailing Address | Practice Location Address |
|---|---|
| Bonnie Nadaene Grude, 701 Ne 36th St, Oklahoma City, OK 73105-7203 Ph: () - | Bonnie Nadaene Grude, 3700 N Kickapoo Ave, Shawnee, OK 74804-1707 Ph: (405) 273-6383 |
Mrs. Lauren M Rubino, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3700 N Kickapoo Ave Ste 116, Shawnee, OK 74804 Phone: 405-551-8103 | |
Dustin Wade, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2508 N Harrison St, Shawnee, OK 74804 Phone: 405-585-2030 | |
Mrs. Sabrina R Lafrance, CNP-FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 30 Redbud Ln, Shawnee, OK 74801 Phone: 509-554-9250 | |
Dr. Magdalyn Boegler, DNP, APRN, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3700 N Kickapoo Ave Ste 100, Shawnee, OK 74804 Phone: 405-214-1700 | |
Mrs. Destiny Ruosa Mitchell, APRN-CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 781 Grand Casino Blvd, Shawnee, OK 74804 Phone: 405-964-5770 Fax: 405-964-5788 | |
Candice Hamre, MSN, APRN, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2508 N Harrison St, Shawnee, OK 74804 Phone: 405-585-2030 Fax: 405-857-3122 | |
Susan George, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2029 Gordon Cooper Dr, Shawnee, OK 74801 Phone: 405-878-5850 Fax: 405-701-7631 |