BONNIE LEAGUE – Certified Registered Nurse Anesthetist, NPI 1457989121

BONNIE LEAGUE is a healthcare provider. based in Ocala, Florida. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold a License No. 9223266 (FL). The NPI Number for BONNIE LEAGUE is 1457989121

Main info

Female
Sole Proprietor
5 Years Of Experience
Accepts Medicare Assignment
Name
BONNIE LEAGUE
NPI
1457989121
Phone
(352) 433-2825
Address
150 SE 17TH ST STE 503
Enumeration Date
30 March 2020
Last Update Date
28 December 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3523311590
Graduation Year
2021 (5 years ago)
PAC ID
4385046689
Group Practice PAC ID
7315945979
Professional Enrollment ID
I20210708003143
Address ID
FL326053101GA6925XPLXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience45
Completeness75
Years active:6State licenses:2Digital endpointsOther names

5,375 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in FL

Provider Addresses for BONNIE LEAGUE

  • 150 SE 17TH ST STE 503

    OCALA, FL 344715176

    Phone: (352) 433-2825

    Type: Mailing

  • 1500 SW 1ST AVE

    OCALA, FL 344716504

    Phone: (352) 433-2825

    Type: Location

  • 3709 NW 55TH TER

    GAINESVILLE, FL 326066910

    Phone: (352) 226-9474

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 7 Open Payments records for all available years, with a total value of $306.

Total Amount is formed as General ($306) + Research ($0) + Ownership ($0) = $306.

Last reported payment date: 2024-12-18 • Largest payer in this snapshot: Boston Scientific Corporation ($135).

Total Amount

$306

General + Research + Ownership

Payments

7

Total payment records

General Amount

$306

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-18

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: 2021-07-08

PECOS data refreshed: 2026-06-15

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
I20210708003143ICertified Registered Nurse Anesthetist (Crna)FLTBD

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
00567Anesthesia for heart artery bypass grafting on heart-lung machine1414$0
01922Anesthesia for x-ray or radiation therapy1414$0
01926Anesthesia for x-ray on artery of brain, heart, or chest1414$0
00560Anesthesia for procedure on heart and large blood vessels1212$0
View full utilization report →

Insurance plans in this area (ZIP 34471)

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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: 7315945979View full group profile
NameSpecialtyState
Certified Registered Nurse Anesthetist (Crna)FL
Certified Registered Nurse Anesthetist (Crna)FL
Certified Registered Nurse Anesthetist (Crna)KY
Certified Registered Nurse Anesthetist (Crna)FL
Certified Registered Nurse Anesthetist (Crna)FL
Certified Registered Nurse Anesthetist (Crna)MA
Certified Registered Nurse Anesthetist (Crna)GA

Reviews

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Frequently asked questions

How do I look up BONNIE LEAGUE by NPI?
Use NPI 1457989121 when you need to reference BONNIE LEAGUE in forms, claims, or directories.
Is BONNIE LEAGUE active in the national directory?
BONNIE LEAGUE's public NPI profile is in an active state.
What kind of provider is BONNIE LEAGUE?
The page reflects Certified Registered Nurse Anesthetist for BONNIE LEAGUE. Clinical services aligned with this taxonomy classification.
What location shows for BONNIE LEAGUE?
We surface Ocala, Florida for BONNIE LEAGUE based on available NPPES addresses.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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