BONNIE JEAN FOSTER (FNP-C) – Family Nurse Practitioner, NPI 1063069979

BONNIE JEAN FOSTER (FNP-C) is a healthcare provider. based in Winslow, Arizona. specializing in NURSE PRACTITIONER. They hold the professional credentials FNP-C. They hold a License No. 231068 (AZ). The NPI Number for BONNIE JEAN FOSTER (FNP-C) is 1063069979

Main info

Female
7 Years Of Experience
Accepts Medicare Assignment
Name
BONNIE JEAN FOSTER (FNP-C)
NPI
1063069979
Phone
(602) 743-3292
Address
219 W FOURTH ST
Enumeration Date
25 August 2019
Last Update Date
7 July 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7573376000
Graduation Year
2019 (7 years ago)
PAC ID
6406283613
Group Practice PAC ID
3274994470
Professional Enrollment ID
I20241104002462
Address ID
VA237074618PO1800XBLVD400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience45
Completeness85
Years active:6State licenses:2Digital endpointsOther names

7,509 NURSE PRACTITIONER in AZ

Provider Addresses for BONNIE JEAN FOSTER (FNP-C)

  • 219 W FOURTH ST

    WINSLOW, AZ 860473506

    Phone: (602) 743-3292

    Type: Mailing

  • 3491 EDGEWATER DR

    VERMILION, OH 440892361

    Phone: (440) 433-0530

    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: 2026-01-22

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20241104002462INurse PractitionerVATBD
I20260122002027INurse PractitionerNCTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 86047)

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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: 3274994470View full group profile
NameSpecialtyState
Nurse PractitionerMS
Internal MedicineTX
Nurse PractitionerMI
Nurse PractitionerVA
Internal MedicineVA
Nurse PractitionerGA
Nurse PractitionerMD
Nurse PractitionerGA
Family PracticeVA
Nurse PractitionerVA

Reviews

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Frequently asked questions

What unique ID ties claims to BONNIE JEAN FOSTER (FNP-C)?
NPI 1063069979 is assigned to BONNIE JEAN FOSTER (FNP-C) under the national enumeration system.
Is BONNIE JEAN FOSTER (FNP-C)'s NPI currently valid?
The extract we use shows BONNIE JEAN FOSTER (FNP-C) as active.
What field does BONNIE JEAN FOSTER (FNP-C) work in?
You can think of BONNIE JEAN FOSTER (FNP-C) as practicing within Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What location metadata exists for BONNIE JEAN FOSTER (FNP-C)?
The page summarizes Winslow, Arizona for BONNIE JEAN FOSTER (FNP-C); expand the address list for detail.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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