MISS BONNIE BETH WICKHAM PA
NPI 1225058902
Physician Assistant in Bend, OR
About Miss Bonnie Beth Wickham Pa NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MISS BONNIE BETH WICKHAM PA (NPI 1225058902) is an individual physician assistant in Bend, Oregon, licensed in Texas (PA04799) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS, is affiliated with St Charles Medical Center - Bend, and maintains 2 additional practice locations.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Locations 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Miss Bonnie Beth Wickham Pa is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Areas of Expertise CMS Part B claims
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
St Charles Medical Center - Bend
Acute Care Hospitals · Bend, ORSt Charles Medical Center Prineville
Critical Access Hospitals · Prineville, ORPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 97702 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Bonnie Wickham's NPI number?
The NPI number for Bonnie Wickham is 1225058902. It was assigned to this individual provider in the NPPES registry on July 19, 2006.
Where is Bonnie Wickham located?
Bonnie Wickham practices at 61250 SE Coombs Pl, Bend, OR 97702. The listed phone number is (541) 706-5930.
What is Bonnie Wickham's specialty?
The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.
Is Bonnie Wickham enrolled in Medicare?
Yes. Bonnie Wickham is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
What insurance does Bonnie Wickham accept?
Health plans from BridgeSpan Health Company, Moda Health Plan, Inc., Premera Blue Cross Blue Shield of Alaska and Regence BlueCross BlueShield of Oregon list Bonnie Wickham as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
Is Bonnie Wickham affiliated with any hospitals?
According to CMS data, Bonnie Wickham is affiliated with St Charles Medical Center - Bend and St Charles Medical Center Prineville.
When was this NPI record last updated?
The NPPES record for Bonnie Wickham was last updated on June 4, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.
