BONNIE LANDGRAF – Family Nurse Practitioner, NPI 1255784518

BONNIE LANDGRAF is a healthcare provider. based in Larned, Kansas. specializing in NURSE PRACTITIONER. They hold a License No. TMP-153360 (KS). The NPI Number for BONNIE LANDGRAF is 1255784518

Main info

Female
5 Years Of Experience
Accepts Medicare Assignment
Name
BONNIE LANDGRAF
NPI
1255784518
Phone
(620) 804-6007
Address
713 W 11th St
Enumeration Date
21 July 2016
Last Update Date
4 March 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9139518731
Graduation Year
2021 (5 years ago)
PAC ID
1052605318
Group Practice PAC ID
8527412782
Professional Enrollment ID
I20160809001706
Address ID
KS661012111KA700XXAVEX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience42
Completeness75
Years active:9State licenses:1Digital endpointsOther names

3,550 NURSE PRACTITIONER in KS

Provider Addresses for BONNIE LANDGRAF

  • 713 W 11th St

    Larned, KS 675502055

    Phone: (620) 804-6007

    Type: Location

  • 1634 E 63rd St

    Kansas City, MO 641103502

    Phone: (816) 381-5648

    Fax: (816) 281-1871

    Type: Location

  • 16659 E 23rd St S

    Independence, MO 640551922

    Phone: (816) 688-6000

    Fax: (816) 631-1885

    Type: Location

  • 700 NEBRASKA AVE

    KANSAS CITY, KS 661012111

    Phone: (913) 951-8731

    Fax: (913) 426-9057

    Type: Location

  • 713, West 11th Street, Larned, Pawnee County, Kansas, 67550, United States

    LARNED, KS 675502055

    Phone:

    Type: Mailing

  • PO BOX 746874

    ATLANTA, GA 303746874

    Phone: (312) 733-9730

    Fax: (312) 929-0373

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 6 Open Payments records for all available years, with a total value of $110.

Total Amount is formed as General ($110) + Research ($0) + Ownership ($0) = $110.

Last reported payment date: 2023-10-05 • Largest payer in this snapshot: Amgen Inc. ($38).

Total Amount

$110

General + Research + Ownership

Payments

6

Total payment records

General Amount

$110

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-10-05

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2024-03-08

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20160809001706INurse PractitionerKSTBD
I20240308000265INurse PractitionerMOTBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
81002Urinalysis, manual test3627$0
83036Hemoglobin a1c level2314$0
99202New patient office or other outpatient visit, 15-29 minutes1919$0
99212Established patient office or other outpatient visit, 10-19 minutes1511$0
View full utilization report →

Insurance plans in this area (ZIP 67550)

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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: 8527412782View full group profile
NameSpecialtyState
Nurse PractitionerGA
Nurse PractitionerKS
Family PracticeKS
Internal MedicineKS

Reviews

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Frequently asked questions

How do I look up BONNIE LANDGRAF by NPI?
Use NPI 1255784518 when you need to reference BONNIE LANDGRAF in forms, claims, or directories.
Is BONNIE LANDGRAF active in the national directory?
BONNIE LANDGRAF's public NPI profile is in an active state.
What kind of provider is BONNIE LANDGRAF?
The page reflects Family Nurse Practitioner for BONNIE LANDGRAF. Clinical services aligned with this taxonomy classification.
Does BONNIE LANDGRAF practice in Kansas?
You will see Larned, Kansas on file for BONNIE LANDGRAF alongside any extra practice locations.
How can I contact BONNIE LANDGRAF?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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