MRS. BONNI BLUE STANCOVEN (CRNA) – Certified Registered Nurse Anesthetist, NPI 1013922715

Certified Registered Nurse Anesthetist

MRS. BONNI BLUE STANCOVEN (CRNA) is a healthcare provider. based in Beaumont, Texas. specializing in Certified Registered Nurse Anesthetist. They hold the professional credentials CRNA. They hold a License No. AP102542 (TX). The NPI Number for MRS. BONNI BLUE STANCOVEN (CRNA) is 1013922715

Main info

Female

54 Years Of Experience

Accepts Medicare Assignment

Name

MRS. BONNI BLUE STANCOVEN (CRNA)

NPI

1013922715

Phone

(409) 838-5214

Address

PO BOX 5587

Enumeration Date

30 July 2006

Last Update Date

9 December 2016

Doctor Profile

Medical School Name

OTHER

Secondary Phone

4098385214

Graduation Year

1972 (54 years ago)

PAC ID

9032200399

Group Practice PAC ID

2264792449

Professional Enrollment ID

I20070801000453

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

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Provider Addresses for MRS. BONNI BLUE STANCOVEN (CRNA)

Beaumont Post Office, 1025, Majestic Drive, Beaumont, Lexington, Fayette County, Kentucky, 40513, United States
BEAUMONT, TX 777265587
Phone: (409) 838-5214
Type: Mailing
755, North 11th Street, Beaumont, Jefferson County, Texas, 78734, United States
SUITE P3600
BEAUMONT, TX 777021500
Phone: (409) 838-5214
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.

No Medicare enrollment or revalidation data available for this provider in our database.

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 77726)

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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: 2264792449View full group profile

Name	Specialty	State
DR. MICHAEL J. MCCREDIE (M.D.)	-	TX
KELI ARDOIN WILLIAMS (CRNA)	-	TX
DR. STEPHEN J. SCHANGE (M.D.)	-	TX
DR. CARLOS B. III ORTIZ (M.D.)	-	TX
Unknown Individual	-	TX
DR. ROBERT K O'BRYAN (M.D.)	-	TX

Reviews

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Frequently asked questions

How is MRS. BONNI BLUE STANCOVEN (CRNA) identified in CMS data?

CMS-hosted NPPES data lists MRS. BONNI BLUE STANCOVEN (CRNA) with NPI 1013922715.

Does the file indicate MRS. BONNI BLUE STANCOVEN (CRNA) is practicing under active NPI?

Directory data currently reports MRS. BONNI BLUE STANCOVEN (CRNA) as active.

What is MRS. BONNI BLUE STANCOVEN (CRNA)'s specialty?

The listing groups MRS. BONNI BLUE STANCOVEN (CRNA) with Certified Registered Nurse Anesthetist. Clinical services aligned with this taxonomy classification.

Where should I expect MRS. BONNI BLUE STANCOVEN (CRNA) on a map?

Expect Beaumont, Texas as a primary anchor for MRS. BONNI BLUE STANCOVEN (CRNA) unless the record lists multiple sites.

Is the information about MRS. BONNI BLUE STANCOVEN (CRNA) up to date?

Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."