MR. GARY BONNER (ARNP) – Nurse Practitioner, NPI 1689754236
Nurse Practitioner
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Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
24,232 NURSE PRACTITIONER in FL
Provider Addresses for MR. GARY BONNER (ARNP)
2 TAMPA GENERAL CIR
TAMPA, FL 336063571
Phone: (813) 821-8038
Type: Location
9981 S Healthpark Dr
Fort Myers, FL 339083618
Phone: (239) 343-3630
Fax: (239) 985-3528
Type: Location
13127 Vail Ridge Dr
Riverview, FL 335797196
Phone: (813) 661-6199
Fax: (813) 661-6334
Type: Location
PO BOX 917770
ORLANDO, FL 328910001
Phone:
Fax: (813) 661-6334
Type: Mailing
Fort Myers Post Office, North Airport Road, Lee County, Florida, 33907, United States
FORT MYERS, FL 339022147
Phone: (239) 424-1400
Fax: (239) 424-1421
Type: Mailing
HealthPark Medical Center, 9981, South Healthpark Drive, Cypress Cove Villas, Fort Myers, Lee County, Florida, 33908, United States
FORT MYERS, FL 339083618
Phone: (239) 343-3630
Fax: (239) 985-3528
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 17 Open Payments records for all available years, with a total value of $410.
Total Amount is formed as General ($410) + Research ($0) + Ownership ($0) = $410.
Last reported payment date: 2024-12-04 • Largest payer in this snapshot: ZOLL Services LLC (A/K/A ZOLL LifeCor Corp) ($156).
Total Amount
$410
General + Research + Ownership
Payments
17
Total payment records
General Amount
$410
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-04
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2004-08-07
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 |
|---|---|---|---|---|
| I20040807000242 | 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 33606)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | FL | |
| - | FL | |
| - | FL | |
| Clinical Psychologist | FL | |
| - | FL | |
| - | FL | |
| - | FL | |
| - | FL | |
| - | FL | |
| - | FL |
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