Cody Johanna Bonine, FNP - Medicare Nurse Practitioner in Eagle, ID

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Cody Johanna Bonine, FNP is a medicare enrolled "Nurse Practitioner - Family" in Eagle, Idaho. Her current practice location is 21 N Fisher Park Way, Eagle, Idaho. You can reach out to her office (for appointments etc.) via phone at (208) 996-8181.

Cody Johanna Bonine is licensed to practice in Idaho (license number 69928) 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 1528730165.

Contact Information

Cody Johanna Bonine, FNP
21 N Fisher Park Way,
Eagle, ID 83616-4796
(208) 996-8181
(208) 549-7880

Map and Direction




Provider's Profile

Full NameCody Johanna Bonine
GenderFemale
SpecialityNurse Practitioner - Family
Location21 N Fisher Park Way, Eagle, Idaho
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1528730165
  • Provider Enumeration Date: 10/01/2021
  • Last Update Date: 10/01/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 5193119238
  • Enrollment ID: I20220307000254

Medical Identifiers

Medical identifiers for Cody Johanna Bonine such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1528730165NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 69928 (Idaho)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. Cody Johanna Bonine allows following entities to bill medicare on her behalf.
Entity NameKey Stone Health Care
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1932520640
PECOS PAC ID: 0648402784
Enrollment ID: O20140403002234
Entity NameKeystone Center For Geriatrics Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1376211268
PECOS PAC ID: 7618365792
Enrollment ID: O20211021002038

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. Cody Johanna Bonine 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
Cody Johanna Bonine, FNP
13530 W Hazelnut St,
Boise, ID 83713-0870

Ph: (208) 608-9659		Cody Johanna Bonine, FNP
21 N Fisher Park Way,
Eagle, ID 83616-4796

Ph: (208) 996-8181

Reviews and Comments


Nurse Practitioner Nurses in Eagle, ID

Evita Kvista,
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 225 S Linder Rd Apt B301, Eagle, ID 83616
Phone: 208-412-9622    
Ms. Beth Elaine Landis, NP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 1540 E Rivers End Ct, Eagle, ID 83616
Phone: 208-939-6030    
Bethany Joy Mello, NP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 951 E Plaza Dr Ste 170, Eagle, ID 83616
Phone: 208-939-3505    
Christopher Alan Anthony Nicholas,
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 3101 E State St, Eagle, ID 83616
Phone: 208-473-3100    
Jessica Watson, NP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 225 S Linder Rd Apt O107, Eagle, ID 83616
Phone: 208-519-8520    
Claudia Parcells, NP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 951 E Plaza Dr, Suite 170, Eagle, ID 83616
Phone: 208-939-3505    Fax: 208-939-3507
Allison Roper Serr, FNP-C
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 1079 S Ancona Ave Ste 100, Eagle, ID 83616
Phone: 208-853-2273    

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.