Cody Johanna Bonine, FNP
NPI 1528730165ActiveIndividual· Nurse Practitioner, Family· Eagle, ID
Nurse Practitioner, Family (FNP) with Keystone Center for Geriatrics LLC and 1 other group, practicing in Eagle, Idaho. Their prescriptions cost Medicare Part D more than their services did: $748,434 for 14,426 claims, against $195,124 paid for services in 2024. Lists Saint Alphonsus Regional Medical Center and 1 other hospital as hospital affiliations.
Overview
| NPI | 1528730165 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | FNP |
| Sole proprietor | Yes |
| NPI issued | Oct 1, 2021 |
| Last updated in NPPES | Oct 1, 2021 |
| Certified by provider | Sep 26, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Family Primary | 363LF0000X | 69928 | ID |
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 Practitioner - Nurse Practitioner (ID) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 174 |
|---|---|
| Services billed | 3,309 across 23 procedure codes |
| Paid by Medicare | $195,124 |
Part D prescriptions in 2024
| Prescriptions (claims) | 14,426 · 16,107 30-day fills |
|---|---|
| Patients | 590 |
| Total drug cost | $748,434 |
| Generic share | 92% of claims |
Education and affiliations
| Graduation year | 2021 |
|---|---|
| Medicare specialty | Nurse Practitioner |
| Telehealth | Offers telehealth |
Medical groups
- Keystone Center for Geriatrics LLCBoise, ID · 8 clinicians
- Key Stone Health CareEagle, ID · 5 clinicians
Hospital affiliations
- Saint Alphonsus Regional Medical CenterBoise, ID
- St Luke's Regional Medical CenterBoise, ID
Other facilities
- First Choice Home CareHome health agency · Boise, ID
- Multicare Home Health Services, IncHome health agency · Meridian, ID
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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