Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Bonnie Michelle Henry, RN, CNP

Individual provider Family Nurse Practitioner · NPI 1649922402

Bonnie Michelle Henry, RN, CNP is a Nurse Practitioner in Saint Paul, Minnesota. Qualified in 2021, 5 years ago. Practices with Centracare Clinic Southwest LLC, a 172-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Minnesota.

Years since qualifying
5
Licensed in
MN
In the registry since
2022
What do these letters mean?
RN — Registered Nurse
A licensed nurse who completed a nursing degree and passed the NCLEX-RN examination.
CNP — Certified Nurse Practitioner
A certified nurse practitioner.

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Practice location Address checks out

1021 Bandana Blvd E Ste 100
Saint Paul, MN 55108-5109
Phone: (651) 241-9700
Fax: (651) 241-9678
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 101 Willmar Ave Sw, Willmar, MN 56201-3556 — (320) 231-5000

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 8943 (MN)

Record details

NPI number1649922402
Entity typeIndividual (Type 1)
GenderFemale
Credentials RN , CNP
Sole proprietorNo
NPI enumeratedJanuary 24, 2022
Last updated in NPPESAugust 8, 2024
Certification dateAugust 8, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Centracare Clinic Southwest Llc — 172 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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