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

Kristin Bonilla, RN

Individual provider Family Nurse Practitioner · NPI 1164317616

Kristin Bonilla, RN is a Nurse Practitioner in Beaver Dam, Wisconsin. Qualified in 2025, 1 year ago. Practices with Watertown Physician Practices LLC, a 63-clinician group and accepts Medicare assignment. Licensed in Wisconsin.

Years since qualifying
1
Licensed in
WI
In the registry since
2025
What do these letters mean?
RN — Registered Nurse
A licensed nurse who completed a nursing degree and passed the NCLEX-RN examination.

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Practice location Address checks out

323 York St
Beaver Dam, WI 53916-1725
Phone: (920) 344-7010
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 17434 (WI)

Record details

NPI number1164317616
Entity typeIndividual (Type 1)
GenderFemale
Credentials RN
Sole proprietorNo
NPI enumeratedJune 12, 2025
Last updated in NPPESFebruary 11, 2026
Certification dateFebruary 11, 2026

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice Watertown Physician Practices Llc — 63 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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