Healthcare Stat of Newcastle LLC
NPI 1346796604ActiveOrganization· Nurse Practitioner, Family· Newcastle, OK
Nurse Practitioner, Family in Newcastle, Oklahoma, registered in NPPES in August 2016. The authorized official on file is Shawn P. Bonilla, APRN, Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1346796604 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Aug 28, 2016 |
| Last updated in NPPES | Aug 28, 2016 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Family Primary | 363LF0000X | 68442 | OK |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (OK) |
|---|
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