BONNIE BOYETTE-PETERSON (APRN-C) – Primary Care Nurse Practitioner, NPI 1194874669

BONNIE BOYETTE-PETERSON (APRN-C) is a healthcare provider. based in Gainesville, Florida. specializing in Primary Care Nurse Practitioner. They hold the professional credentials APRN-C. They hold a License No. APRN1095542 (FL). The NPI Number for BONNIE BOYETTE-PETERSON (APRN-C) is 1194874669

Main info

Female
32 Years Of Experience
Accepts Medicare Assignment
Name
BONNIE BOYETTE-PETERSON (APRN-C)
NPI
1194874669
Phone
(352) 374-5600
Address
4300 SW 13TH ST
Enumeration Date
10 January 2007
Last Update Date
21 July 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7273122040
Graduation Year
1994 (32 years ago)
PAC ID
2365345998
Group Practice PAC ID
6305883133
Professional Enrollment ID
I20040130000110
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience71
Completeness75
Years active:19State licenses:2Digital endpointsOther names

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

View all Open Payments →|Open Payments Risk Radar →

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

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

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20040130000110INurse PractitionerFLTBD

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 32608)

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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: 6305883133View full group profile

Reviews

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Frequently asked questions

What is the 10-digit NPI for BONNIE BOYETTE-PETERSON (APRN-C)?
BONNIE BOYETTE-PETERSON (APRN-C) — NPI 1194874669 — is the standard way to identify this listing.
Can I rely on BONNIE BOYETTE-PETERSON (APRN-C) being an active provider?
As of the registry snapshot, BONNIE BOYETTE-PETERSON (APRN-C) is marked active.
What is BONNIE BOYETTE-PETERSON (APRN-C)'s primary classification?
Primary Care Nurse Practitioner is the headline specialty for BONNIE BOYETTE-PETERSON (APRN-C) here. Clinical services aligned with this taxonomy classification.
What area does BONNIE BOYETTE-PETERSON (APRN-C) serve?
BONNIE BOYETTE-PETERSON (APRN-C)'s listing highlights Gainesville, Florida; more addresses can appear in NPPES.
Why does BONNIE BOYETTE-PETERSON (APRN-C) have multiple addresses?
4 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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