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BONNIE L DEJARDIN AGNP-BC
NPI 1225403157
Nurse Practitioner in Green Bay, WI

Active since December 03, 2015PECOS EnrolledAccepts Medicare Assignment
704 S WEBSTER AVE, GREEN BAY, WI 54301(920) 433-6050(920) 433-6049 Get Directions Write a Review

NPPES record last updated: June 28, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Bonnie L Dejardin Agnp-bc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BONNIE L DEJARDIN AGNP-BC (NPI 1225403157) is an individual nurse practitioner in Green Bay, Wisconsin, licensed in Wisconsin (6710-33) and active in the NPI registry since December 2015. She is enrolled in Medicare PECOS, is affiliated with Osf St Francis Hospital And Medical Group, and maintains a secondary practice location in Luxemburg.

NPPES Registry Identity

NPI1225403157
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameBONNIE L DEJARDINCredential: AGNP-BC
Location Address704 S WEBSTER AVEGreen Bay, WI 54301-3528
Mailing AddressPo Box 22487Green Bay, WI 54305-2487 · (920) 445-7222 · Fax (920) 445-7289
Phone(920) 433-6050
Fax(920) 433-6049
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateDecember 3, 2015
Last NPPES UpdateJune 28, 2019
✔ NPI 1225403157 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in WI · 6710-33
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
704 S WEBSTER AVE, Green Bay, WI 54301
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Other Names 1

Former Name (1)Ms. Bonnie Lou Ledvina

Secondary Practice Location 1

Location 1N4359 Doell RdLuxemburg, WI 54217-8068 · Phone (920) 536-0890

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Aspirus Health Plan, CareSource (Common Ground Healthcare) and more.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

Bonnie L Dejardin Agnp-bc 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.

PECOS PAC ID4789986746
PECOS Enrollment IDI20160107001396, I20211214001518
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 4

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
142 services63 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
81 services42 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
65 services32 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
15 services13 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Osf St Francis Hospital And Medical Group

Critical Access Hospitals · Escanaba, MI
2/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number231337
Location3401 Ludington StEscanaba, MI 49829 · Delta County
Emergency services Birthing friendly

Bellin Memorial Hospital

Acute Care Hospitals · Green Bay, WI
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520049
Location744 S Webster AveGreen Bay, WI 54305 · Brown County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54301 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$82.92 typical visit price
range $53.90 – $163.24
Typical copayment $20.73 (range $13.47 – $40.81)
Most-billed visit code 99203
Established Patient
$95.41 typical visit price
range $17.40 – $133.76
Typical copayment $23.85 (range $4.35 – $33.44)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

NEW DERMATOLOGY GROUP LTD
Dermatology
704 S WEBSTER AVE
GREEN BAY, WI 54301
Brown County (920) 965-0345
GENERAL VASCULAR SURGERY OF GREEN BAY SC
Surgery (Vascular Surgery)
704 S WEBSTER AVE, SUITE 15
GREEN BAY, WI 54301
Brown County (920) 433-7463
SARAH ANN PIERRE PAC
Nurse Practitioner (Obstetrics & Gynecology)
704 S WEBSTER AVE, OBGYN ASSOCIATES OF GREEN BAY LTD
GREEN BAY, WI 54301
Brown County (920) 468-3443
REBECCA P VAN MILLER D.D.S.
Dentist (General Practice)
704 S WEBSTER AVE, SUITE 402
GREEN BAY, WI 54301
Brown County (920) 435-6894
BELLIN MEMORIAL HOSPITAL INC
Internal Medicine (Infectious Disease)
704 S WEBSTER AVE, SUITE 501
GREEN BAY, WI 54301
Brown County (920) 445-7226
MICHELLE LYN MINIKEL MD
Family Medicine
704 S WEBSTER AVE, SUITE 200
GREEN BAY, WI 54301
Brown County (920) 433-3456
BART J MILLER PA
Physician Assistant
704 S WEBSTER AVE, STE 100
GREEN BAY, WI 54301
Brown County (920) 433-3456
MRS. LORI L HARTZ MS, RD
Dietitian, Registered
704 S WEBSTER AVE
GREEN BAY, WI 54301
Brown County (920) 433-3456

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 Dejardin's NPI number?

The NPI number for Bonnie Dejardin is 1225403157. It was assigned to this individual provider in the NPPES registry on December 3, 2015. The provider is also known as Ms. Bonnie Lou Ledvina.

Where is Bonnie Dejardin located?

Bonnie Dejardin practices at 704 S Webster Ave, Green Bay, WI 54301. The listed phone number is (920) 433-6050.

What is Bonnie Dejardin's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Bonnie Dejardin enrolled in Medicare?

Yes. Bonnie Dejardin 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 Dejardin accept?

Health plans from Anthem Blue Cross and Blue Shield, Aspirus Health Plan, CareSource (Common Ground Healthcare) and HealthPartners list Bonnie Dejardin 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 Dejardin affiliated with any hospitals?

According to CMS data, Bonnie Dejardin is affiliated with Osf St Francis Hospital And Medical Group and Bellin Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Bonnie Dejardin was last updated on June 28, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.