Bonnie Nadaene Grude, - Medicare Nurse Practitioner in Shawnee, OK

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Bonnie Nadaene Grude, is a medicare enrolled "Nurse Practitioner - Family" in Shawnee, Oklahoma. Her current practice location is 3700 N Kickapoo Ave, Shawnee, Oklahoma. You can reach out to her office (for appointments etc.) via phone at (405) 273-6383.

Bonnie Nadaene Grude is licensed to practice in Oklahoma (license number 201526) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1154905321.

Contact Information

Bonnie Nadaene Grude,
3700 N Kickapoo Ave,
Shawnee, OK 74804-1707
(405) 273-6383
(405) 214-1078

Map and Direction




Provider's Profile

Full NameBonnie Nadaene Grude
GenderFemale
SpecialityNurse Practitioner - Family
Location3700 N Kickapoo Ave, Shawnee, Oklahoma
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1154905321
  • Provider Enumeration Date: 05/12/2021
  • Last Update Date: 04/01/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 4688823479
  • Enrollment ID: I20221202000235

Medical Identifiers

Medical identifiers for Bonnie Nadaene Grude such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1154905321NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 201526 (Oklahoma)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Bonnie Nadaene Grude allows following entities to bill medicare on her behalf.
Entity NameSaints Medical Group, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1437195922
PECOS PAC ID: 7012914898
Enrollment ID: O20061109000189
Entity NameSimple Clinic, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1871035022
PECOS PAC ID: 2961545207
Enrollment ID: O20100208000825
Entity NameWilliams Medical Group Practice Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1346608809
PECOS PAC ID: 3375832157
Enrollment ID: O20181228001300

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Bonnie Nadaene Grude is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice 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

Reviews and Comments


Nurse Practitioner Nurses in Shawnee, OK

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: Medicare Enrolled
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
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
Cindy Cheatwood, APRN
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 2508 N Harrison St, Shawnee, OK 74804
Phone: 405-585-2030    Fax: 405-585-2859

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.