KIMBERLY MARIE BONETTI (FNP-BC) – Family Nurse Practitioner, NPI 1174924781

KIMBERLY MARIE BONETTI (FNP-BC) is a healthcare provider. based in Marquette, Michigan. specializing in NURSE PRACTITIONER. They hold the professional credentials FNP-BC. They hold a License No. 4704247126 (MI). The NPI Number for KIMBERLY MARIE BONETTI (FNP-BC) is 1174924781

Main info

Female
12 Years Of Experience
Accepts Medicare Assignment
Name
KIMBERLY MARIE BONETTI (FNP-BC)
NPI
1174924781
Phone
(906) 228-9440
Address
580 W COLLEGE AVE
Enumeration Date
15 September 2014
Last Update Date
5 August 2015

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9064493747
Graduation Year
2014 (12 years ago)
PAC ID
6507087277
Group Practice PAC ID
9931347879
Professional Enrollment ID
I20141021002939
Address ID
MI498554550MA850XXAVEX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience36
Completeness75
Years active:11State licenses:1Digital endpointsOther names

8,105 NURSE PRACTITIONER in MI

Provider Addresses for KIMBERLY MARIE BONETTI (FNP-BC)

  • 580 W COLLEGE AVE

    MARQUETTE, MI 498552736

    Phone: (906) 228-9440

    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)

CMS reports 3 Open Payments records for all available years, with a total value of $67.

Total Amount is formed as General ($67) + Research ($0) + Ownership ($0) = $67.

Last reported payment date: 2024-10-14 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($48).

Total Amount

$67

General + Research + Ownership

Payments

3

Total payment records

General Amount

$67

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-14

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: 2014-10-21

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
I20141021002939INurse PractitionerMITBD

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
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes8443$0
99291Critical care, first 30-74 minutes7538$0
76937Ultrasonic guidance for blood vessel access2418$0
36620Insertion of artery tube for blood sampling or infusion through skin1313$0
View full utilization report →

Insurance plans in this area (ZIP 49855)

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Provider's Procedures

KIMBERLY MARIE BONETTI (FNP-BC) performs procedures in NURSE PRACTITIONER. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
NURSE PRACTITIONERMI36556Insertion of central venous catheter for infusion, patient 5 years or older2524

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: 9931347879View full group profile
NameSpecialtyState
-MI
Nurse PractitionerMI
Hospitalist, Internal MedicineMI
Physician AssistantMI
Nurse PractitionerMI
Hospitalist, Internal MedicineMI
Nurse PractitionerMI
Hospitalist, Critical Care (Intensivists)MI
-OH
Physician AssistantMD

Reviews

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Frequently asked questions

What number should I use to identify KIMBERLY MARIE BONETTI (FNP-BC) for billing?
Administrative and clinical systems typically use NPI 1174924781 for KIMBERLY MARIE BONETTI (FNP-BC).
Does the public listing show KIMBERLY MARIE BONETTI (FNP-BC) as active?
KIMBERLY MARIE BONETTI (FNP-BC)'s NPI record reflects an active status in NPPES.
What services align with KIMBERLY MARIE BONETTI (FNP-BC)'s listing?
KIMBERLY MARIE BONETTI (FNP-BC)'s public classification highlights Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What city is tied to KIMBERLY MARIE BONETTI (FNP-BC)?
The directory associates KIMBERLY MARIE BONETTI (FNP-BC) with Marquette, Michigan. Check all listed addresses for suites or satellite offices.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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