BONITA FAYE CONNER (FNP) – Nurse Practitioner, NPI 1497791115

BONITA FAYE CONNER (FNP) is a healthcare provider. based in Waubun, Minnesota. specializing in NURSE PRACTITIONER. They hold the professional credentials FNP. They hold a License No. R1180880 (MN). The NPI Number for BONITA FAYE CONNER (FNP) is 1497791115

Main info

Female
27 Years Of Experience
Accepts Medicare Assignment
Name
BONITA FAYE CONNER (FNP)
NPI
1497791115
Phone
Not provided
Address
2205 290TH ST
Enumeration Date
21 June 2006
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2187323311
Graduation Year
1999 (27 years ago)
PAC ID
5799729281
Group Practice PAC ID
0345146510
Professional Enrollment ID
I20050920000805
Address ID
MN564701431PA600XXSXXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

5,720 NURSE PRACTITIONER in MN

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Provider Addresses for BONITA FAYE CONNER (FNP)

  • 2205 290TH ST

    WAUBUN, MN 56589

    Phone:

    Type: Mailing

  • White Earth Health Center, 40520, County Highway 34, Ogema, Becker County, Minnesota, 56569, United States

    WHITE EARTH HEALTH CENTER

    OGEMA, MN 56569

    Phone: (218) 983-4300

    Fax: (218) 983-6217

    Type: Location

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: 2005-09-20

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

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

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20050920000805INurse PractitionerMNTBD

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
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes2121$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes1515$0
View full utilization report →

Insurance plans in this area (ZIP 56589)

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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: 0345146510View full group profile
NameSpecialtyState
Hospitalist, Internal MedicineMN
Emergency MedicineMN
Emergency MedicineCO
Diagnostic RadiologyND
Certified Registered Nurse Anesthetist (Crna)MN
Emergency MedicineMN
Emergency MedicineMN
-MN
Hospice/Palliative Care, Internal Medicine, HospitalistMN
Internal MedicineKS

Reviews

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Frequently asked questions

What is the 10-digit NPI for BONITA FAYE CONNER (FNP)?
BONITA FAYE CONNER (FNP) — NPI 1497791115 — is the standard way to identify this listing.
Does the file indicate BONITA FAYE CONNER (FNP) is practicing under active NPI?
Directory data currently reports BONITA FAYE CONNER (FNP) as active.
What is BONITA FAYE CONNER (FNP) best known for clinically?
Directory data describes BONITA FAYE CONNER (FNP) with Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What address line appears for BONITA FAYE CONNER (FNP)?
BONITA FAYE CONNER (FNP)'s geographic hint is Waubun, Minnesota in our summary view.
Why does BONITA FAYE CONNER (FNP) have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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