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AMANDA BONNIWELL PA-C
NPI 1609416833
Physician Assistant in Minneapolis, MN

Active since January 15, 2020PECOS EnrolledAccepts Medicare Assignment
91.42/100
CMS Quality Rating
701 PARK AVE, MINNEAPOLIS, MN 55415(612) 873-3000 Get Directions Write a Review

NPPES record last updated: June 27, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 27, 2024, Mar 31, 2020, Jan 15, 2020 (3 updates tracked since 2020).

About Amanda Bonniwell Pa-c NPPES

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

AMANDA BONNIWELL PA-C (NPI 1609416833) is an individual physician assistant in Minneapolis, Minnesota, licensed in Minnesota (13293) and active in the NPI registry since January 2020. She is enrolled in Medicare PECOS, is affiliated with M Health Fairview St John's Hospital, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1609416833
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameAMANDA BONNIWELLCredential: PA-C
Location Address701 PARK AVEMinneapolis, MN 55415-1623
Mailing Address701 Park AveMinneapolis, MN 55415-1623 · (612) 873-3000
Phone(612) 873-3000
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateJanuary 15, 2020
Last NPPES UpdateJune 27, 20243 updates tracked since enumeration
NPPES CertifiedJune 27, 2024
✔ NPI 1609416833 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in MN · 13293
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
701 PARK AVE, Minneapolis, MN 55415
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica.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

Amanda Bonniwell Pa-c 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 ID2062841778
PECOS Enrollment IDI20200401000827
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.

Hospital Affiliations CMS Care Compare 2

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

M Health Fairview St John's Hospital

Acute Care Hospitals · Maplewood, MN
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number240210
Location1575 Beam AvenueMaplewood, MN 55109 · Ramsey County
Emergency services Birthing friendly

M Health Fairview Woodwinds Hospital

Acute Care Hospitals · Woodbury, MN
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number240213
Location1925 Woodwinds DriveWoodbury, MN 55125 · Washington County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55415 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.

91.42/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality78.78
Promoting Interoperability100
Improvement Activities40
Cost62.8

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. MICHAEL CHARLES HARLOW MD
Psychiatry & Neurology (Psychiatry)
701 PARK AVE
MINNEAPOLIS, MN 55415
Hennepin County (612) 873-3000
DANIEL HART
Emergency Medicine
701 PARK AVE
MINNEAPOLIS, MN 55415
Hennepin County (612) 873-3000
GEORGE NOESEN
Dentist (Oral and Maxillofacial Surgery)
701 PARK AVE
MINNEAPOLIS, MN 55415
Hennepin County (612) 873-3000
MRS. CARMODY ALICE SIME LPCC, LADC
Counselor (Professional)
701 PARK AVE
MINNEAPOLIS, MN 55415
Hennepin County (612) 432-2008
MR. JUSTIN GREGORY SCHULZ MD
Student in an Organized Health Care Education/Training Program
701 PARK AVE
MINNEAPOLIS, MN 55415
Hennepin County (612) 873-3000
EVAN SMITH
Emergency Medicine
701 PARK AVE
MINNEAPOLIS, MN 55415
Hennepin County (612) 873-3000
ALEXA M LYON MD
Student in an Organized Health Care Education/Training Program
701 PARK AVE
MINNEAPOLIS, MN 55415
Hennepin County (612) 873-3000
SUMEDHA REDDY BANDI DO
Student in an Organized Health Care Education/Training Program
701 PARK AVE
MINNEAPOLIS, MN 55415
Hennepin County (612) 873-3000

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 Amanda Bonniwell's NPI number?

The NPI number for Amanda Bonniwell is 1609416833. It was assigned to this individual provider in the NPPES registry on January 15, 2020.

Where is Amanda Bonniwell located?

Amanda Bonniwell practices at 701 Park Ave, Minneapolis, MN 55415. The listed phone number is (612) 873-3000.

What is Amanda Bonniwell's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Amanda Bonniwell enrolled in Medicare?

Yes. Amanda Bonniwell 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 Amanda Bonniwell accept?

Health plans from Medica list Amanda Bonniwell 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 Amanda Bonniwell affiliated with any hospitals?

According to CMS data, Amanda Bonniwell is affiliated with M Health Fairview St John's Hospital and M Health Fairview Woodwinds Hospital.

When was this NPI record last updated?

The NPPES record for Amanda Bonniwell was last updated on June 27, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.