TARA E BONARDI – Certified Registered Nurse Anesthetist, NPI 1528615424

TARA E BONARDI is a healthcare provider. based in Kodiak, Alaska. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold a License No. 148835 (AK). The NPI Number for TARA E BONARDI is 1528615424

Main info

Female
7 Years Of Experience
Accepts Medicare Assignment
Name
TARA E BONARDI
NPI
1528615424
Phone
(774) 239-4106
Address
214 W Rezanof Dr
Enumeration Date
25 August 2019
Last Update Date
10 June 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9074863281
Graduation Year
2019 (7 years ago)
PAC ID
6709214679
Group Practice PAC ID
5799675120
Professional Enrollment ID
I20200309001268
Address ID
AK996156602KO1915XDRXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience36
Completeness75
Years active:6State licenses:1Digital endpointsOther names

133 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in AK

Provider Addresses for TARA E BONARDI

  • 214 W Rezanof Dr

    Kodiak, AK 996156044

    Phone: (774) 239-4106

    Type: Location

  • Proctor Street, Ashburnham, Worcester County, Massachusetts, 01430, United States

    WORCESTER, MA 016062730

    Phone: (774) 239-4106

    Type: Mailing

  • Mat-Su Regional Medical Center, 2500, South Woodworth Loop, Palmer, Matanuska-Susitna, Alaska, 99645, United States

    PALMER, AK 996458984

    Phone: (907) 861-6000

    Type: Location

  • 3527 WOODLAND DR

    KODIAK, AK 996157017

    Phone: (774) 239-4106

    Type: Mailing

  • 1915 E REZANOF DR

    KODIAK, AK 996156602

    Phone: (774) 239-4106

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2020-03-09

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20200309001268ICertified Registered Nurse Anesthetist (Crna)AKTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99231Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes2222$0
01402Anesthesia for procedure for total knee joint replacement1414$0
64447Injection of anesthetic agent and/or steroid into thigh nerve (femoral nerve)1212$0
View full utilization report →

Insurance plans in this area (ZIP 99615)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 5799675120View full group profile
NameSpecialtyState
-WA
General SurgeryOK
Cardiovascular Disease (Cardiology)AK
Internal MedicineAK
Emergency Medicine, Family PracticeAK
Family PracticeCA
Family PracticeWA
Emergency MedicineAK
Cardiovascular Disease (Cardiology)AK
Family PracticeAK

Reviews

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Frequently asked questions

What is the 10-digit NPI for TARA E BONARDI?
TARA E BONARDI — NPI 1528615424 — is the standard way to identify this listing.
Does the file indicate TARA E BONARDI is practicing under active NPI?
Directory data currently reports TARA E BONARDI as active.
What healthcare role does TARA E BONARDI hold?
Scheduling teams often label TARA E BONARDI under Certified Registered Nurse Anesthetist. Clinical services aligned with this taxonomy classification.
What address line appears for TARA E BONARDI?
TARA E BONARDI's geographic hint is Kodiak, Alaska in our summary view.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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