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

Nicole Lynne Bonno, RN

Individual provider Registered Nurse · NPI 1154195667

Nicole Lynne Bonno, RN is a Nurse Practitioner in Gouverneur, New York. Qualified in 2024, 2 years ago. Practices with United Cerebral Palsy Association of the North Country Inc, a 34-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
2
Licensed in
NY
In the registry since
2023
Specialties on file
2
What do these letters mean?
RN — Registered Nurse
A licensed nurse who completed a nursing degree and passed the NCLEX-RN examination.

See every abbreviation used in this directory →

Practice location Address checks out

77 W Barney St
Gouverneur, NY 13642-1040
Phone: (315) 287-4440
Fax: (315) 287-1858
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 355908 (NY)
Registered Nurse Taxonomy 163W00000X · Licence 751719 (NY)

Record details

NPI number1154195667
Entity typeIndividual (Type 1)
GenderFemale
Credentials RN
Sole proprietorYes
NPI enumeratedNovember 14, 2023
Last updated in NPPESApril 11, 2025
Certification dateApril 11, 2025

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice United Cerebral Palsy Association Of The North Country Inc — 34 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Gouverneur