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

Miss. Bonnie L Servage, ANP

Individual provider Adult Health Nurse Practitioner · NPI 1093718066

Miss. Bonnie L Servage, ANP is a Nurse Practitioner in Watertown, New York. Qualified in 2001, 25 years ago. Practices with Samaritan Medical Center, a 158-clinician group, accepts Medicare assignment and offers telehealth. Licensed in New York.

Years since qualifying
25
Licensed in
NY
In the registry since
2005
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Practice location Address checks out

53-59 Public Sq Ste 301
Watertown, NY 13601-2674
Phone: (315) 782-2141
Fax: (315) 782-5123
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Adult Health Nurse Practitioner (primary) Taxonomy 363LA2200X · Licence F303309 (NY)

Record details

NPI number1093718066
Entity typeIndividual (Type 1)
GenderFemale
Credentials ANP
Sole proprietorNo
NPI enumeratedMay 24, 2005
Last updated in NPPESOctober 25, 2007

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2001 (25 years in practice)
Group practice Samaritan Medical Center — 158 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Watertown