BONNY WILLARD (APRN) – Gerontology Nurse Practitioner, NPI 1891341392
Gerontology Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
7,343 NURSE PRACTITIONER in KY
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Provider Addresses for BONNY WILLARD (APRN)
2000, East Virginia Street, Evansville, Vanderburgh County, Indiana, 47711, United States
EVANSVILLE, IN 477159147
Phone: (812) 962-7894
Fax: (812) 476-6162
Type: Mailing
Ashley Street, Bowling Green, Warren County, Kentucky, 42103, United States
BOWLING GREEN, KY 421032449
Phone: (023) 522-5305
Fax: (859) 447-8287
Type: Location
PO BOX 2697
BOWLING GREEN, KY 421027697
Phone: (270) 780-2750
Fax: (270) 780-2755
Type: Mailing
825 2ND AVE STE C2
BOWLING GREEN, KY 421011791
Phone: (270) 780-2750
Fax: (270) 780-2755
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 23 Open Payments records for all available years, with a total value of $423.
Total Amount is formed as General ($423) + Research ($0) + Ownership ($0) = $423.
Last reported payment date: 2024-03-06 • Largest payer in this snapshot: Salix Pharmaceuticals, a division of Bausch Health US, LLC ($99).
Total Amount
$423
General + Research + Ownership
Payments
23
Total payment records
General Amount
$423
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-03-06
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: 2024-08-20
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 |
|---|---|---|---|---|
| I20240820000393 | I | Nurse Practitioner | KY | 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 47715)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Internal Medicine | OH | |
| Internal Medicine | WI | |
| H O S P I T A L I S T | MD | |
| Nurse Practitioner | KY | |
| O B S T E T R I C S/ G Y N E C O L O G Y | KY | |
| Certified Registered Nurse Anesthetist (Crna) | KY | |
| Internal Medicine | KY | |
| Nurse Practitioner | KY | |
| Nurse Practitioner | KY | |
| Internal Medicine | IN |
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