THERESE PELAGIE BONOK – Psychiatric/Mental Health Nurse Practitioner, NPI 1467149765

THERESE PELAGIE BONOK is a healthcare provider. based in Ayer, Massachusetts. specializing in NURSE PRACTITIONER. They hold a License No. RN2290036 (MA). The NPI Number for THERESE PELAGIE BONOK is 1467149765

Main info

Female
Sole Proprietor
4 Years Of Experience
Accepts Medicare Assignment
Name
THERESE PELAGIE BONOK
NPI
1467149765
Phone
(978) 259-8534
Address
40 NORWOOD AVE
Enumeration Date
18 April 2023
Last Update Date
18 April 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8843190000
Graduation Year
2022 (4 years ago)
PAC ID
5294188033
Group Practice PAC ID
6901159003
Professional Enrollment ID
I20240129003139
Address ID
MA016061244WO100XXDRXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience30
Completeness75
Years active:3State licenses:1Digital endpointsOther names

8,972 NURSE PRACTITIONER in MA

Provider Addresses for THERESE PELAGIE BONOK

  • 40 NORWOOD AVE

    AYER, MA 014321370

    Phone: (978) 259-8534

    Mailing address matches the actual address.

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: 2024-01-29

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
I20240129003139INurse PractitionerMATBD

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 01432)

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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: 6901159003View full group profile

Reviews

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Frequently asked questions

How do payers reference THERESE PELAGIE BONOK?
For THERESE PELAGIE BONOK, use NPI 1467149765 as the unique 10-digit identifier.
Is THERESE PELAGIE BONOK still an active registrant?
THERESE PELAGIE BONOK carries an active NPI according to the public dataset.
What area of care is associated with THERESE PELAGIE BONOK?
THERESE PELAGIE BONOK's record emphasizes Psychiatric/Mental Health Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What locale is associated with THERESE PELAGIE BONOK?
Directory geography for THERESE PELAGIE BONOK centers on Ayer, Massachusetts.
When was this NPI issued?
Enumeration for THERESE PELAGIE BONOK is noted as April 18, 2023 where the registry provides it.

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