Kristin Bonilla, RN
NPI 1164317616ActiveIndividual· Nurse Practitioner, Family· Beaver Dam, WI
Nurse Practitioner, Family (RN) with Watertown Physician Practices LLC, practicing in Beaver Dam, Wisconsin. Enrolled in Medicare as practitioner - nurse practitioner. Lists Fort Memorial Hospital and 1 other hospital as hospital affiliations.
Overview
| NPI | 1164317616 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | RN |
| Sole proprietor | No |
| NPI issued | Jun 12, 2025 |
| Last updated in NPPES | Feb 11, 2026 |
| Certified by provider | Feb 11, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Family Primary | 363LF0000X | 17434 | WI |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Nurse Practitioner (WI) |
|---|
Education and affiliations
| Graduation year | 2025 |
|---|---|
| Medicare specialty | Nurse Practitioner |
Medical group
- Watertown Physician Practices LLCWatertown, WI · 67 clinicians
Hospital affiliations
- Fort Memorial HospitalFort Atkinson, WI
- Watertown Memorial HospitalWatertown, WI
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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