Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Tara E Bonardi

Individual provider Certified Registered Nurse Anesthetist · NPI 1528615424

Tara E Bonardi is registered under Certified Registered Nurse Anesthetist (CRNA) in Kodiak, Alaska. Qualified in 2019, 7 years ago. Practices with Providence Health and Services Washington, a 31-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Alaska.

Years since qualifying
7
Licensed in
AK
In the registry since
2019
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Practice location Address checks out

1915 E Rezanof Dr
Kodiak, AK 99615-6602
Phone: (774) 239-4106
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 214 W Rezanof Dr, Kodiak, AK 99615-6044 — (774) 239-4106

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence 148835 (AK)

Record details

NPI number1528615424
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedAugust 25, 2019
Last updated in NPPESJune 10, 2024
Certification dateJune 10, 2024

Medicare enrollment

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

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Providence Health And Services Washington — 31 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Medicare patients and services, 2024

From the CMS Medicare Physician & Other Practitioners file for calendar year 2024. It counts Original Medicare patients only, so a practice that mostly sees Medicare Advantage or privately insured patients looks smaller here than it is.

Medicare patients13
Services billed 17 a service is one billed item, such as a visit, a test or a procedure
Average patient age65

Dollar amounts are not shown. What Medicare pays a practice is gross billings, before staff, premises and tax and including the cost of any drugs it administers, so it is not what a clinician earns.

Colleagues at Providence Health and Services Washington

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 31 clinicians in the practice; 12 are shown here.

Other providers in Kodiak