KATHLEEN R BONAVENTURA (APRN) – Nurse Practitioner, NPI 1821062175
Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for KATHLEEN R BONAVENTURA (APRN)
103, Thoreau Drive, Shelton, Naugatuck Valley Planning Region, Connecticut, 06484, United States
SHELTON, CT 064841638
Phone: (203) 292-2000
Fax: (203) 255-5212
Type: Mailing
Brick Walk Professional Building, 1305, Post Road, Fairfield, Fairfield County, Connecticut, 06890, United States
FAIRFIELD, CT 068246016
Phone: (203) 292-2000
Fax: (203) 255-5212
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $20.
Total Amount is formed as General ($20) + Research ($0) + Ownership ($0) = $20.
Last reported payment date: 2023-03-08 • Largest payer in this snapshot: Boston Scientific Corporation ($20).
Total Amount
$20
General + Research + Ownership
Payments
1
Total payment records
General Amount
$20
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-03-08
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Boston Scientific Corporation | $20 |
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: 2008-06-10
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20080610000579 | I | Nurse Practitioner | CT | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 93793 | Anticoagulant management of patient taking warfarin | 413 | 87 | $0 |
| 93280 | Programming of dual lead pacemaker system | 220 | 134 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 162 | 150 | $0 |
| 93000 | Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report | 144 | 130 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 55 | 41 | $0 |
Insurance plans in this area (ZIP 06484)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| NURSE PRACTITIONER | CT | 93280 | Evaluation, testing, and programming adjustment of permanent dual lead pacemaker system with physician analysis, review, and report | 411 | 264 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Interventional Cardiology, Cardiovascular Disease (Cardiology) | CT | |
| - | CT | |
| - | CT | |
| Internal Medicine | NJ | |
| Hospitalist, Internal Medicine | CT | |
| - | CT | |
| - | CT | |
| Internal Medicine | CT | |
| Nurse Practitioner | CT | |
| Physician Assistant | CT |
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