SAMANTHA BONIN (DNP, AGACNP-BC) – Acute Care Nurse Practitioner, NPI 1053056663
Acute Care Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
3,532 NURSE PRACTITIONER in IA
Provider Addresses for SAMANTHA BONIN (DNP, AGACNP-BC)
1837 SW VERA CRUZ LN
ANKENY, IA 500239340
Phone: (405) 822-6978
Type: Mailing
1215 PLEASANT ST STE 414
DES MOINES, IA 503091408
Phone: (515) 241-5700
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 74 Open Payments records for all available years, with a total value of $2,354.
Total Amount is formed as General ($2,354) + Research ($0) + Ownership ($0) = $2,354.
Last reported payment date: 2024-12-12 • Largest payer in this snapshot: ZOLL Services LLC (A/K/A ZOLL LifeCor Corp) ($698).
Total Amount
$2,354
General + Research + Ownership
Payments
74
Total payment records
General Amount
$2,354
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-12
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: 2022-07-24
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 |
|---|---|---|---|---|
| I20220724000003 | I | Nurse Practitioner | IA | 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 50023)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | IL | |
| Infectious Disease, Internal Medicine | IA | |
| Family Practice | IA | |
| Internal Medicine, Hospitalist | IL | |
| - | IA | |
| - | IA | |
| - | IA | |
| Nurse Practitioner | IA | |
| Physician Assistant | IA | |
| - | IA |
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