DR. BONNI S. COHEN (FNP) – Family Nurse Practitioner, NPI 1861535296

DR. BONNI S. COHEN (FNP) is a healthcare provider. based in Jacksonville, Florida. specializing in NURSE PRACTITIONER. They hold the professional credentials FNP. They hold a License No. RN201143 (GA). The NPI Number for DR. BONNI S. COHEN (FNP) is 1861535296

Main info

Female
21 Years Of Experience
Accepts Medicare Assignment
Name
DR. BONNI S. COHEN (FNP)
NPI
1861535296
Phone
(904) 635-7470
Address
120 SAINT JOHNS COMMONS RD
Enumeration Date
15 February 2007
Last Update Date
13 September 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2293827120
Graduation Year
2005 (21 years ago)
PAC ID
6901902923
Group Practice PAC ID
2062745169
Professional Enrollment ID
I20100521000310
Address ID
GA317943648TI901XXEXXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience76
Completeness75
Years active:19State licenses:2Digital endpointsOther names

24,232 NURSE PRACTITIONER in FL

Provider Addresses for DR. BONNI S. COHEN (FNP)

  • 120 SAINT JOHNS COMMONS RD

    JACKSONVILLE, FL 322594057

    Phone: (904) 635-7470

    Type: Location

  • 137 DIEGO LANE

    PONTE VEDRA BEACH, FL 320824057

    Phone: (904) 635-7470

    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: 2010-05-21

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
I20100521000310INurse PractitionerGATBD

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 32259)

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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: 2062745169View full group profile
NameSpecialtyState
-GA
-GA
-GA
G A S T R O E N T E R O L O G YGA
Family Practice, Emergency MedicineGA
Internal Medicine, Critical Care (Intensivists), Pulmonary Disease, Pulmonary DiseaseMD
-GA
-GA
Internal MedicineGA
Pulmonary Disease, Critical Care (Intensivists), Internal Medicine, Sleep MedicineGA

Reviews

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Frequently asked questions

What NPI should I save for DR. BONNI S. COHEN (FNP)?
Save NPI 1861535296 if you need a stable reference for DR. BONNI S. COHEN (FNP).
Is DR. BONNI S. COHEN (FNP) currently active in the NPI registry?
CMS-published data lists DR. BONNI S. COHEN (FNP) as an active registrant.
Can you summarize DR. BONNI S. COHEN (FNP)'s specialty in plain language?
Clinically, the directory lists DR. BONNI S. COHEN (FNP) with Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What location metadata exists for DR. BONNI S. COHEN (FNP)?
The page summarizes Jacksonville, Florida for DR. BONNI S. COHEN (FNP); expand the address list for detail.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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