R WILLIAM BOHONNON (APRN) – Family Nurse Practitioner, NPI 1518500768
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
24,232 NURSE PRACTITIONER in FL
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Provider Addresses for R WILLIAM BOHONNON (APRN)
2820 NE 30TH ST APT 7
FORT LAUDERDALE, FL 333061942
Phone: (203) 641-9049
Type: Mailing
295, Southwest 4th Avenue, Pompano Beach, Broward County, Florida, 33060, United States
POMPANO BEACH, FL 330606933
Phone: (549) 942-6000
Type: Location
1 COCHECO AVE
BRANFORD, CT 064055209
Phone: (203) 641-9049
Type: Mailing
270 CONGRESS AVE
NEW HAVEN, CT 065191403
Phone: (203) 641-9049
Type: Location
330 MAIN ST STE 101
HARTFORD, CT 061061860
Phone: (860) 969-1101
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: 2022-03-29
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20200220001717 | I | Nurse Practitioner | FL | TBD |
| I20220329000856 | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 33306)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Internal Medicine | CT | |
| - | MA | |
| - | CT | |
| - | CT | |
| Addiction Medicine, Family Practice | CT | |
| Clinical Social Worker | CT |
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