Nicole Lynne Bonno, RN - Medicare Nurse Practitioner in Gouverneur, NY

  1. Home
  2. Nurse Practitioner
  3. NY
  4. Gouverneur
Nicole Lynne Bonno, RN is a medicare enrolled "Nurse Practitioner - Family" in Gouverneur, New York. Her current practice location is 77 W Barney St, Gouverneur, New York. You can reach out to her office (for appointments etc.) via phone at (315) 287-4440.

Nicole Lynne Bonno is licensed to practice in New York (license number 355908) 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 1154195667.

Contact Information

Nicole Lynne Bonno, RN
77 W Barney St,
Gouverneur, NY 13642-1040
(315) 287-4440
(315) 287-1858

Map and Direction




Provider's Profile

Full NameNicole Lynne Bonno
GenderFemale
SpecialityNurse Practitioner - Family
Location77 W Barney St, Gouverneur, New York
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1154195667
  • Provider Enumeration Date: 11/14/2023
  • Last Update Date: 04/11/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 9133640105
  • Enrollment ID: I20250306001025

Medical Identifiers

Medical identifiers for Nicole Lynne Bonno such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1154195667NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163W00000XRegistered Nurse 751719 (New York)Secondary
363LF0000XNurse Practitioner - Family 355908 (New York)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. Nicole Lynne Bonno allows following entities to bill medicare on her behalf.
Entity NameUnited Cerebral Palsy Association Of The North Country Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1467432765
PECOS PAC ID: 8729078001
Enrollment ID: O20040518000102

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. Nicole Lynne Bonno 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
Nicole Lynne Bonno, RN
4 Commerce Ln,
Canton, NY 13617-3739

Ph: (315) 386-8191		Nicole Lynne Bonno, RN
77 W Barney St,
Gouverneur, NY 13642-1040

Ph: (315) 287-4440

Reviews and Comments


Nurse Practitioner Nurses in Gouverneur, NY

Meghan Mcgowan, CPNP-PC
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 77 W Barney St, Gouverneur, NY 13642
Phone: 315-535-1300    
Laurie Faye Brown, NP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 77 W Barney St, Gouverneur, NY 13642
Phone: 315-287-1000    Fax: 315-535-9207
Mrs. Rachel I Raven, FNP-C
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 77 W. Barney St., Gouverneur, NY 13642
Phone: 315-261-5871    Fax: 315-714-3068
Matthew David Zegil, NP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 77 W Barney St, Gouverneur, NY 13642
Phone: 315-287-1000    

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.