Healthcare Stat of Newcastle LLC
NPI 1346796604 · Family Nurse Practitioner · Newcastle, OK
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Healthcare Stat of Newcastle LLC is a Family Nurse Practitioner organization in Newcastle, OK (NPI 1346796604).
Provider details
- NPI number
- 1346796604
- Entity type
- Organization
- Primary specialty
- Family Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- Shawn Bonilla, Owner(405) 792-0200
- License
- 68442 (OK)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Healthcare Stat of Newcastle
Registry dates
- Enumerated
- 2016-08-28
- Last updated
- 2016-08-28
Frequently asked questions
- What is Healthcare Stat of Newcastle LLC's NPI number?
- Healthcare Stat of Newcastle LLC's National Provider Identifier (NPI) is 1346796604, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Healthcare Stat of Newcastle LLC?
- Healthcare Stat of Newcastle LLC is classified in the NPPES registry as Family Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Healthcare Stat of Newcastle LLC located?
- Healthcare Stat of Newcastle LLC's practice location on file with NPPES is 2120 N Main St Suite B, Newcastle, OK 73065.
- What is Healthcare Stat of Newcastle LLC's phone number?
- The practice phone number listed in the NPPES registry for Healthcare Stat of Newcastle LLC is (405) 792-0200.
- Does Healthcare Stat of Newcastle LLC accept Medicare?
- Healthcare Stat of Newcastle LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Healthcare Stat of Newcastle LLC?
- The authorized official listed on Healthcare Stat of Newcastle LLC's NPPES record is Shawn Bonilla, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Healthcare Stat of Newcastle LLC's NPI active?
- Yes — Healthcare Stat of Newcastle LLC's NPI (1346796604) is active in the NPPES registry as of the last update on 2016-08-28.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.