BONNIE BOYETTE-PETERSON (APRN-C) – Primary Care Nurse Practitioner, NPI 1194874669
Primary Care Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for BONNIE BOYETTE-PETERSON (APRN-C)
4300 SW 13TH ST
GAINESVILLE, FL 326084006
Phone: (352) 374-5600
Fax: (352) 224-2741
Type: Mailing
Fruitville Road, Sarasota County, Florida, United States of America
SARASOTA, FL 342321926
Phone: (941) 366-0134
Fax: (941) 404-1760
Type: Mailing
US Highway 19, New Port Richey, Pasco County, Florida, 34652, United States
NEW PORT RICHEY, FL 346524945
Phone: (727) 312-2040
Fax: (888) 806-9655
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 6 Open Payments records for all available years, with a total value of $131.
Total Amount is formed as General ($131) + Research ($0) + Ownership ($0) = $131.
Last reported payment date: 2024-10-22 • Largest payer in this snapshot: PFIZER INC. ($52).
Total Amount
$131
General + Research + Ownership
Payments
6
Total payment records
General Amount
$131
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-22
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| PFIZER INC. | $52 |
| Gilead Sciences, Inc. | $39 |
| IBSA Pharma Inc. | $22 |
| Amneal Pharmaceuticals LLC | $18 |
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: 2004-01-30
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 |
|---|---|---|---|---|
| I20040130000110 | I | Nurse Practitioner | FL | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 32608)
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Group practice members
- 1
- 2
- 3
- 4
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | FL | |
| - | FL | |
| - | FL | |
| - | FL | |
| Nurse Practitioner | FL | |
| Clinical Social Worker | FL | |
| Nurse Practitioner | FL | |
| - | FL | |
| Nurse Practitioner | FL | |
| Nurse Practitioner | FL |
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