SHAWN PATRICK BONILLA (N.P.) – Acute Care Nurse Practitioner, NPI 1134213978

SHAWN PATRICK BONILLA (N.P.) is a healthcare provider. based in Norman, Oklahoma. specializing in NURSE PRACTITIONER. They hold the professional credentials N.P.. They hold a License No. ROO68442 (OK). The NPI Number for SHAWN PATRICK BONILLA (N.P.) is 1134213978

Main info

Male
20 Years Of Experience
Name
SHAWN PATRICK BONILLA (N.P.)
NPI
1134213978
Phone
(405) 659-5656
Address
PO BOX 5908
Enumeration Date
3 October 2006
Last Update Date
24 March 2016

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4057920200
Graduation Year
2006 (20 years ago)
PAC ID
0244338218
Group Practice PAC ID
2769760768
Professional Enrollment ID
I20070614000608
Address ID
OK730654115NE704XXSTXX400
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

3,299 NURSE PRACTITIONER in OK

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Provider Addresses for SHAWN PATRICK BONILLA (N.P.)

  • Norman Post Office, West Gray Street, Norman, Cleveland County, Oklahoma, 73069, United States

    NORMAN, OK 730705908

    Phone: (405) 659-5656

    Fax: (405) 701-5421

    Type: Mailing

  • East Veterans Memorial Highway, Blanchard, McClain County, Oklahoma, 73010, United States

    BLANCHARD, OK 730109215

    Phone: (405) 659-5656

    Fax: (405) 701-5421

    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: 2007-06-14

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
I20070614000608INurse PractitionerOKTBD

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
J1100Injection, dexamethasone sodium phosphate, 1 mg48652$0
99214Established patient office or other outpatient visit, 30-39 minutes278179$0
99213Established patient office or other outpatient visit, 20-29 minutes136114$0
96372Injection of drug or substance under skin or into muscle12990$0
87428Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus and influenza11296$0
View full utilization report →

Insurance plans in this area (ZIP 73070)

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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: 2769760768View full group profile
NameSpecialtyState
Nurse PractitionerOK

Reviews

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Frequently asked questions

How is SHAWN PATRICK BONILLA (N.P.) identified in CMS data?
CMS-hosted NPPES data lists SHAWN PATRICK BONILLA (N.P.) with NPI 1134213978.
Does the file indicate SHAWN PATRICK BONILLA (N.P.) is practicing under active NPI?
Directory data currently reports SHAWN PATRICK BONILLA (N.P.) as active.
What is SHAWN PATRICK BONILLA (N.P.) best known for clinically?
Directory data describes SHAWN PATRICK BONILLA (N.P.) with Acute Care Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What area does SHAWN PATRICK BONILLA (N.P.) serve?
SHAWN PATRICK BONILLA (N.P.)'s listing highlights Norman, Oklahoma; more addresses can appear in NPPES.
Why does SHAWN PATRICK BONILLA (N.P.) 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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