MARLENE BONILLA ALICEA DPM
NPI 1588856546
Podiatrist in Richfield, MN

Q: What is Marlene Bonilla Alicea's NPI number?

The NPI number for Marlene Bonilla Alicea is 1588856546. It was assigned to this individual provider in the NPPES registry on August 14, 2007.

Q: What is Marlene Bonilla Alicea's specialty?

The primary specialty registered for this NPI is Podiatrist with taxonomy code 213E00000X.

Active since August 14, 2007PECOS EnrolledAccepts Medicare Assignment

58.96/100

CMS Quality Rating

6625 LYNDALE AVE S STE 105, RICHFIELD, MN 55423(612) 788-8778 Get Directions Write a Review

NPPES record last updated: April 12, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Apr 12, 2023, Apr 9, 2019 (2 updates tracked since 2019).

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About Marlene Bonilla Alicea Dpm NPPES

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

MARLENE BONILLA ALICEA DPM (NPI 1588856546) is an individual podiatrist in Richfield, Minnesota, licensed in Minnesota (1016) and active in the NPI registry since August 2007. She is enrolled in Medicare PECOS, is affiliated with St Lukes Hospital, and is a graduate of New York College Of Podiatric Medicine (2005).

NPPES Registry Identity

NPI1588856546

Entity TypeIndividualFemale

Primary Taxonomy213E00000X

Provider Legal NameMARLENE BONILLA ALICEACredential: DPM

Location Address6625 LYNDALE AVE S STE 105Richfield, MN 55423-2673

Mailing Address6625 Lyndale Ave S Ste 300Richfield, MN 55423-2491 · (612) 788-8778 · Fax (612) 869-3473

Phone(612) 788-8778

Sole ProprietorNo

Medical School CMSNew York College Of Podiatric MedicineGraduated 2005

Enumeration DateAugust 14, 2007

Last NPPES UpdateApril 12, 20232 updates tracked since enumeration

NPPES CertifiedApril 12, 2023

✔ NPI 1588856546 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPodiatristPodiatric Medicine & Surgery Service Providers

Taxonomy Code213E00000X

Licenses✔ Licensed in MN · 1016✔ Licensed in NY · N006419-1

Definition

A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.

6625 LYNDALE AVE S STE 105, Richfield, MN 55423

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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

Marlene Bonilla Alicea Dpm 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 ID9436316817

PECOS Enrollment IDI20190613000730

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.

Medicare Billing Reassignments

Medicare enrollment records show Marlene Bonilla Alicea reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Active Feet , Foot & Ankle Health Center

Same address

Primary Podiatric Medicine

6625 LYNDALE AVE S STE 105
Minneapolis, MN 55423

Reassigned Medicare billing, Minnesota enrollment
25 clinicians in this Medicare group

NPI 1689848392 (612) 788-8778

In House Senior Services, LLC

Same address

Primary Podiatric Medicine

6625 LYNDALE AVE S STE 105
Richfield, MN 55423

Reassigned Medicare billing, Minnesota enrollment
28 clinicians in this Medicare group

NPI 1083962294 (612) 788-8778

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 15

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.

Removal of fingernails or toenails, 6 or more nails 11721

This procedure involves the removal of six or more fingernails or toenails. It's typically done to treat severe nail infections, persistent pain, or abnormal nail growth. Local anesthesia is used to minimize discomfort. Healing usually takes a few weeks.

2,038 services1,082 patients

Removal of noncancer thickened skin growth, 2-4 growths 11056

This procedure involves the safe removal of 2-4 noncancerous thickened skin growths. It's typically done under local anesthesia. The process helps to alleviate discomfort and prevent potential complications. It's a standard, low-risk procedure.

319 services228 patients

Removal of noncancer thickened skin growth, 1 growth 11055

This procedure involves the removal of a thickened skin growth that is not cancerous. A healthcare professional will safely extract the growth, usually under local anesthesia. This process helps maintain skin health and prevent potential complications.

272 services199 patients

Residence visit for established patient with straightforward medical decision making, per day, if using time, at least 15 minutes 99347

An established patient home visit is a service where a healthcare professional visits your home for a 15-minute check-up. It's designed for patients who have previously seen the professional. The visit may include basic health assessments and discussions about your ongoing care.

176 services166 patients

Residence visit for new patient with straightforward medical decision making, per day, if using time, at least 15 minutes 99341

A new patient home visit is a brief, 20-minute appointment where a healthcare professional comes to your home. This visit is to understand your health needs, answer your queries, and plan your care. It's a convenient way to start your healthcare journey.

113 services113 patients

Residence visit for new patient with low level of medical decision making, per day, if using time, at least 30 minutes 99342

A new patient home visit is a 30-minute appointment where a healthcare provider comes to your home to assess your health needs. This can include discussing your medical history, current conditions, and treatment plans. It's a convenient way to receive care in your own environment.

56 services56 patients

Initial nursing facility care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99304

An initial nursing facility visit is a daily check-up to monitor your health status. This service, lasting typically 25 minutes, involves a nurse assessing your overall wellbeing, discussing concerns, and updating your care plan as needed.

55 services55 patients

Removal of noncancer thickened skin growth, more than 4 growths 11057

This procedure involves the removal of more than four noncancerous, thickened skin growths. It's a simple process where a healthcare professional uses a specialized tool to carefully remove these growths, promoting healthier skin.

52 services45 patients

Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes 99307

A follow-up nursing facility visit per day typically lasts about 10 minutes. This service involves a healthcare professional checking on your health status, answering any questions you may have, and monitoring your progress. This routine check ensures your recovery is on track and any concerns are addressed promptly.

48 services46 patients

Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes 99348

An established patient home visit is a 25-minute appointment where a healthcare provider visits you at your home. This service is for patients who have previously been seen by the provider. It includes a check-up and discussion about your health concerns.

44 services44 patients

Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes 99305

An initial nursing facility visit per day is a service where a healthcare professional spends about 35 minutes assessing a patient's health status. This includes reviewing medical history, conducting a physical exam, and developing a care plan based on the patient's needs.

38 services38 patients

Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308

A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.

38 services33 patients

Removal of fingernails or toenails, 1-5 nails 11720

This procedure involves the careful removal of 1-5 nails from fingers or toes. It's typically done to treat conditions like ingrown nails, fungal infections, or damaged nails. Local anesthesia is used for comfort, and the area heals over time with appropriate care.

25 services17 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

24 services20 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

11 services11 patients

Hospital Affiliations CMS Care Compare

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

St Lukes Hospital

Acute Care Hospitals · Duluth, MN

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number240047

Location915 East 1st StreetDuluth, MN 55805 · St. Louis County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55423 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

$85.82 typical visit price

range $56.00 – $168.28

Typical copayment $21.45 (range $14.00 – $42.07)

Most-billed visit code 99203

Established Patient

$69.74 typical visit price

range $18.32 – $138.04

Typical copayment $17.43 (range $4.58 – $34.51)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

58.96/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

35.12

Promoting Interoperability

Improvement Activities

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.

DR. KIRSTEN LOUISE DANIELS AU.D.

Audiologist