Carlos Eduardo Bonilla, APRN
NPI 1174032122ActiveIndividual· Nurse Practitioner, Family· Orem, UT
Nurse Practitioner, Family (APRN) in Orem, Utah, licensed in UT, with an NPI issued in September 2017. Part D covered 40 prescriptions written in 2024, 85% of them generic.
Overview
| NPI | 1174032122 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | APRN |
| Sole proprietor | Yes |
| NPI issued | Sep 21, 2017 |
| Last updated in NPPES | Mar 17, 2018 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Family Primary | 363LF0000X | 5250948-4405 | UT |
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 Order and Referring Only - Nurse Practitioner (UT) |
|---|
Part D prescriptions in 2024
| Prescriptions (claims) | 40 · 119 30-day fills |
|---|---|
| Total drug cost | $729.56 |
| Generic share | 85% of claims |
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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