MR. MARK W BONNEVILLE MD
NPI 1336129626
Emergency Medicine in Monticello, MN
About Mr. Mark W Bonneville Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. MARK W BONNEVILLE MD (NPI 1336129626) is an individual emergency medicine provider in Monticello, Minnesota, licensed in Minnesota (35582) and active in the NPI registry since January 2006. He is enrolled in Medicare PECOS, is affiliated with Centracare Health - Monticello, and is a graduate of Saint Louis University School Of Medicine (1984).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 3
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Mr. Mark W Bonneville Md 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.
Medicare Billing Reassignments
7Medicare enrollment records show Mark Bonneville reassigns Medicare billing to 7 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Monticello, MN 55362
- Reassigned Medicare billing, Minnesota enrollment
- 2 clinicians in this Medicare group
Golden Valley, MN 55416
- Reassigned Medicare billing, Minnesota enrollment
- 328 clinicians in this Medicare group
Melrose, MN 56352
- Reassigned Medicare billing, Minnesota enrollment
- 180 clinicians in this Medicare group
Willmar, MN 56201
- Reassigned Medicare billing, Minnesota enrollment
- 179 clinicians in this Medicare group
Sauk Centre, MN 56378
- Reassigned Medicare billing, Minnesota enrollment
- Also billed through NPI 1740553932 (Minnesota)
- 173 clinicians in this Medicare group
Long Prairie, MN 56347
- Reassigned Medicare billing, Minnesota enrollment
- 156 clinicians in this Medicare group
Wadena, MN 56482
- Reassigned Medicare billing, Minnesota enrollment
- 202 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 3
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
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Centracare Health - Monticello
Critical Access Hospitals · Monticello, MNPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 55362 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.
MONTICELLO, MN 55362
MONTICELLO, MN 55362
MONTICELLO, MN 55362
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 Mark Bonneville's NPI number?
The NPI number for Mark Bonneville is 1336129626. It was assigned to this individual provider in the NPPES registry on January 20, 2006.
Where is Mark Bonneville located?
Mark Bonneville practices at 1013 Hart Blvd, Monticello, MN 55362. The listed phone number is (763) 271-2386.
What is Mark Bonneville's specialty?
The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.
Is Mark Bonneville enrolled in Medicare?
Yes. Mark Bonneville 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.
Which organizations bill Medicare for Mark Bonneville's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Mark Bonneville reassigns Medicare benefits to 7 organizations: Centracare Health System-Nr LLC (Monticello, MN), Emergency Physicians Professional Association (Golden Valley, MN), Centracare Health System - Melrose (Melrose, MN), Carris Health LLC (Willmar, MN), Centracare Health System - Sauk Centre (Sauk Centre, MN) and 2 more organizations, listed in the Medicare section above. Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Mark Bonneville's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Mark Bonneville affiliated with any hospitals?
According to CMS data, Mark Bonneville is affiliated with Centracare Health - Monticello.
When was this NPI record last updated?
The NPPES record for Mark Bonneville was last updated on January 15, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.
# Mr. Mark W Bonneville, MD · NPI 1336129626
Emergency Medicine physician in Monticello, Minnesota. Individual provider, active in the CMS NPPES registry since January 20, 2006.
## Identity
- **NPI:** 1336129626 (Entity type: Individual)
- **Enumerated:** January 20, 2006
- **Primary specialty:** Emergency Medicine · taxonomy 207P00000X
- **State license:** 35582 (Minnesota)
- **Sole proprietor:** No
## Practice location
- **Address:** 1013 HART BLVD, Monticello, MN 55362-8575
- **Phone:** (763) 271-2386 · **Fax:** (763) 271-2890
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 7 organizations under Medicare reassignment (form CMS-855R): Centracare Health System-Nr LLC (NPI 1275872772, Monticello, MN); Emergency Physicians Professional Association (NPI 1750188488, Golden Valley, MN); Centracare Health System - Melrose (NPI 1720045073, Melrose, MN); Carris Health LLC (NPI 1134632680, Willmar, MN); Centracare Health System - Sauk Centre (NPI 1578813762, Sauk Centre, MN); and 2 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Saint Louis University School Of Medicine, class of 1984
## Record status
- **NPPES last updated:** January 15, 2009
- **Other identifiers:** Medicare UPIN F31800 (MN); Medicare ID-Type Unspecified 080005074 (MN); Medicaid 069268900 (MN)
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Source: [NPI Profile](https://npiprofile.com/npi/1336129626) · Data from the CMS NPPES public registry.