BONNIE RAE
NPI 1619049756
Nurse Practitioner - Family in Jamaica Plain, MA

NPI Status: Active since November 14, 2006

Contact Information

170 MORTON ST
JAMAICA PLAIN, MA
ZIP 02130
Phone: (617) 971-3961

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  • Individual
  • Female
  • Nurse Practitioner
  • Family
  • PECOS Enrolled

About BONNIE RAE

This page provides the complete NPI Profile along with additional information for Bonnie Rae, a provider established in Jamaica Plain, Massachusetts with a medical specialization in Nurse Practitioner, focusing in family . The healthcare provider is registered in the NPI registry with number 1619049756 assigned on November 2006. The practitioner's primary taxonomy code is 363LF0000X with license number 214532 (MA). The provider is registered as an individual and her NPI record was last updated 13 years ago.

NPI
1619049756
Provider Name
BONNIE RAE
Gender
Female
Entity Type
Individual
Location Address
170 MORTON ST JAMAICA PLAIN, MA 02130
Location Phone
(617) 971-3961
Mailing Address
170 MORTON ST JAMAICA PLAIN, MA 02130
Mailing Phone
(617) 971-3961
Is Sole Proprietor?
No
Enumeration Date
11-14-2006
Last Update Date
11-08-2012
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A nurse practitioner (NP) like Bonnie Rae is an experienced registered nurse with a master’s or doctoral degree and advanced clinical training. Nurse practitioners can work in many different specialties including primary care, pediatrics, cardiology, emergency, women’s health, oncology or geriatrics. Nurse practitioners provide services like physical exams, order laboratory tests, manage diseases, write prescriptions, etc.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Nurse Practitioner Family

Taxonomy Code
363LF0000X
Type
Physician Assistants & Advanced Practice Nursing Providers
License No.
214532
License State
MA

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1363LF0000XPhysician Assistants & Advanced Practice Nursing Providers

Nurse Practitioner
Family

101-0022621 (VT)

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
NP214532OTHER (01)MAMASSACHUSETTS APN
101-0022621OTHER (01)VTLICENSE

Medicare Participation & PECOS Enrollment Status

Bonnie Rae is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Physician Visit Costs

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 02130 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99203

  • Average New Patient Price $97.64
  • Minimum New Patient Price $63.72
  • Maximum New Patient Price $189.86
  • Average New Patient Copayment $24.41
  • Minimum New Patient Copayment $15.93
  • Maximum New Patient Copayment $47.46

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99214

  • Average Established Patient Price $111.18
  • Minimum Established Patient Price $21.07
  • Maximum Established Patient Price $155.29
  • Average Established Patient Copayment $27.79
  • Minimum Established Patient Copayment $5.26
  • Maximum Established Patient Copayment $38.82

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

Reviews for BONNIE RAE

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1619049756
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
26290418710
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 6 + 2 + 9 + 0 + 4 + 1 + 8 + 7 + 1 + 0 + 24 = 64
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 64 = 66

The NPI number 1619049756 is valid because the calculated check digit 6 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1598745630 DANIELLA FLORU MD
Individual
Internal Medicine (Geriatric Medicine)170 MORTON ST
JAMAICA PLAIN, MA 02130
(617) 522-8110
1962472894 KENNETH FREEDMAN M.D.
Individual
Internal Medicine170 MORTON ST
JAMAICA PLAIN, MA 02130
(617) 971-3532
1417927062DR. AMY CAROL LISSER M.D.
Individual
Psychiatry & Neurology (Psychiatry)170 MORTON ST LEMUEL SHATTUCK HOSPITAL
JAMAICA PLAIN, MA 02130
(617) 971-3177
1376509786MRS. MARY MARGARET KEOHANE APRN, BC, CNN
Individual
Nurse Practitioner (Family)170 MORTON ST
JAMAICA PLAIN, MA 02130
(617) 971-3412
1407803711DR. MITCHELL P STOKES M.D.
Individual
Psychiatry & Neurology (Psychiatry)170 MORTON ST LEMUEL SHATTUCK HOSPITAL
JAMAICA PLAIN, MA 02130
(617) 971-3607
1497792006 CHIDI C ACHEBE M.D.
Individual
Internal Medicine170 MORTON ST LEMUEL SHATTUCK HOSPITAL
JAMAICA PLAIN, MA 02130
(617) 522-8110
1881605582DR. CRISPIN VILLACORTA VALIENTE JR. M.D.
Individual
Anesthesiology170 MORTON ST
JAMAICA PLAIN, MA 02130
(617) 522-8110
1801809181DR. DENNIS E TYRELL PH.D
Individual
Psychologist (Counseling)170 MORTON ST
BOSTON, MA 02130
(617) 971-3902
1457437378THE COMMONWEALTH OF MASSACHUSETTS
Organization
Chronic Disease Hospital170 MORTON ST
JAMAICA PLAIN, MA 02130
(617) 522-8110
1437236205DR. JAY ANTHONY NATHANSON M.D., M.P.H.
Individual
Psychiatry & Neurology (Psychiatry)170 MORTON ST ROOM 309 N
JAMAICA PLAIN, MA 02130
(617) 971-3086
1629157565MRS. RUTH HASKAL NP
Individual
Nurse Practitioner170 MORTON ST
JAMAICA PLAIN, MA 02130
(617) 971-3952
1932265865 MELVYN L LURIE M.D.
Individual
Psychiatry & Neurology (Psychiatry)170 MORTON ST MMBMHU--10 NORTH
BOSTON, MA 02130
(617) 510-8474
1740333921MRS. ELISE NAVRATIL KLINE I NP
Individual
Psychologist170 MORTON ST
JAMAICA PLAIN, MA 02130
(617) 971-3085
1487707386 TERESA IBARRETA MARGATE NP
Individual
Nurse Practitioner170 MORTON ST
JAMAICA PLAIN, MA 02130
(617) 522-8110
1073668190 SALLY GUY APRN, BC
Individual
Clinical Nurse Specialist (Psychiatric/Mental Health, Adult)170 MORTON ST
JAMAICA PLAIN, MA 02130
(617) 971-3733
1578600011DR. MARYANN CATHERINE CARRAZZA DMD
Individual
Dentist (General Practice)170 MORTON ST
JAMAICA PLAIN, MA 02130
(617) 971-3305
1710025093DR. NANCY PETERSON MOCZYNSKI PH.D., ABPP-CN
Individual
Clinical Neuropsychologist170 MORTON ST
BOSTON, MA 02130
(617) 971-3387
1093856890DR. ARLETTA G CIOFFARI PHD
Individual
Social Worker (Clinical)170 MORTON ST ATTN GBHC CLINIC
JAMAICA PLAIN, MA 02130
(617) 971-3351
1811039662 VIRGINIA MCCULLOUGH PA
Individual
Physician Assistant (Medical)170 MORTON ST
JAMAICA PLAIN, MA 02130
(617) 971-3788
1255474037 BARBARA MCGOVERN MD
Individual
Internal Medicine170 MORTON ST
JAMAICA PLAIN, MA 02130
(617) 971-3621

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1619049756, enumerated in the NPI registry as an "individual" on November 14, 2006

The provider is located at 170 Morton St Jamaica Plain, Ma 02130 and the phone number is (617) 971-3961

The provider's speciality is Nurse Practitioner with taxonomy code 363LF0000X with a focus in Family

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

Medicare beneficiaries should expect a typical cost of $97.64 with an average copayment of $24.41 for new patient appointments. Established patients should expect a typical charge of $111.18 and an average copayment of 27.79. Please review your insurance plan or contact the provider directly to determine your specific costs.

This NPI record was last updated on November 14, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.