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Mrs. Bonnie Jean Coburn, NP

Family Nurse Practitioner in Decatur, IL · enumerated 2006.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1720165103

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Registry record

Entity type Individual (Type 1)
Name Mrs. Bonnie Jean Coburn
Credential NP
Sex Female
Practice address 4455 E Us Route 36, Decatur, IL, 62521
Enumeration date Nov 1, 2006
Last updated in NPPES Oct 28, 2025

Taxonomy & licenses

363LF0000X Family Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers · License 277000529 (IL) Primary
363L00000X Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers · License 209006142 (IL) Secondary
NP · Nurse Practitioner: An advanced practice registered nurse with graduate training, licensed to diagnose and treat, often with prescriptive authority. About the NP credential

Other identifiers

Identifier Type State Issuer
041292879 Medicaid IL -
036102377 1 Medicaid IL -
433990 Other IL MEDICARE GROUP
1497762959 1 Medicaid IL -
P00678744 Other IL RAILROAD MEDICARE

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Is NPI 1720165103 active?
Yes, as of the latest NPPES snapshot, NPI 1720165103 is active (record last updated 2025-10-28).
How do I verify Bonnie Coburn's NPI record?
Cross-check NPI 1720165103 against the official CMS registry at npiregistry.cms.hhs.gov. This page mirrors the same public NPPES data with a monthly snapshot.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2025-10-28.