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LAVONNE M CHARBONNEAU PA-C
NPI 1700867397
Physician Assistant in Rolla, ND

Active since November 10, 2005PECOS EnrolledAccepts Medicare Assignment
114 3RD ST NE, ROLLA, ND 58367(701) 477-3111(701) 477-6342 Get Directions Write a Review

NPPES record last updated: February 18, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Lavonne M Charbonneau Pa-c NPPES

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

LAVONNE M CHARBONNEAU PA-C (NPI 1700867397) is an individual physician assistant in Rolla, North Dakota, licensed in North Dakota (PAC0002) and active in the NPI registry since November 2005. She is enrolled in Medicare PECOS, is affiliated with St Andrew's Hospital, and is a graduate of Other (1993).

NPPES Registry Identity

NPI1700867397
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameLAVONNE M CHARBONNEAUCredential: PA-C
Location Address114 3RD ST NERolla, ND 58367-7137
Mailing AddressPo Box 699, 114 Ne 3rd StRolla, ND 58367-0699 · (701) 477-3111 · Fax (701) 477-6342
Phone(701) 477-3111
Fax(701) 477-6342
Sole ProprietorNo
Medical School CMSOtherGraduated 1993
Enumeration DateNovember 10, 2005
Last NPPES UpdateFebruary 18, 2010
✔ NPI 1700867397 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 ND · PAC0002
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.
114 3RD ST NE, Rolla, ND 58367
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Other Identifiers 2

Medicare UPINS46449ND
Medicare ID-Type Unspecified15384ND

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of North Dakota, Medica, Sanford Health Plan.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

Lavonne M Charbonneau 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 ID7719998160
PECOS Enrollment IDI20130314000080
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.

St Andrew's Hospital

Critical Access Hospitals · Bottineau, ND
OwnershipVoluntary non-profit - Church
CMS Certification Number351307
Location316 Ohmer StreetBottineau, ND 58318 · Bottineau County
Emergency services

Presentation Medical Center

Critical Access Hospitals · Rolla, ND
OwnershipVoluntary non-profit - Private
CMS Certification Number351316
Location213 Second Ave NERolla, ND 58367 · Rolette County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 58367 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
$85.71 typical visit price
range $55.75 – $168.12
Typical copayment $21.42 (range $13.93 – $42.03)
Most-billed visit code 99203
Established Patient
$69.48 typical visit price
range $18.11 – $137.65
Typical copayment $17.37 (range $4.52 – $34.41)
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.

Referred Medical Equipment & Supplies CMS DME claims 5

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
2 suppliers15 claims26 services$6.09 avg. paid by Medicare
High compression bandage, elastic, knitted/woven, load resistance greater than or equal to 1.35 foot pounds at 50% maximum stretch, width greater than or equal to three inches and less than five inches, per yard A6452
DME-Medical/Surgical Supplies · category DA023N
1 supplier11 claims1,254 services$5.70 avg. paid by Medicare
Filter, disposable, used with positive airway pressure device A7038
DME-Other DME · category DE001N
3 suppliers11 claims58 services$3.19 avg. paid by Medicare
Continuous positive airway pressure (cpap) device E0601
DME-Other DME · category DE001N
2 suppliers13 claims13 services$40.79 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
2 suppliers13 claims13 services$110.13 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ROLLA CLINIC, P.C.
Family Medicine
114 3RD ST NE
ROLLA, ND 58367
Rolette County (701) 477-3111
LILIA MARCELINA CID MD
Family Medicine
114 3RD ST NE
ROLLA, ND 58367
Rolette County (701) 477-3111
MR. MICHAEL THOMAS MCQUEENEY PA-C
Physician Assistant (Medical)
114 3RD ST NE
ROLLA, ND 58367
Rolette County (701) 477-3111

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 Lavonne Charbonneau's NPI number?

The NPI number for Lavonne Charbonneau is 1700867397. It was assigned to this individual provider in the NPPES registry on November 10, 2005.

Where is Lavonne Charbonneau located?

Lavonne Charbonneau practices at 114 3rd St NE, Rolla, ND 58367. The listed phone number is (701) 477-3111.

What is Lavonne Charbonneau's specialty?

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

Is Lavonne Charbonneau enrolled in Medicare?

Yes. Lavonne Charbonneau 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 Lavonne Charbonneau accept?

Health plans from Blue Cross Blue Shield of North Dakota, Medica and Sanford Health Plan list Lavonne Charbonneau 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 Lavonne Charbonneau affiliated with any hospitals?

According to CMS data, Lavonne Charbonneau is affiliated with St Andrew's Hospital and Presentation Medical Center.

When was this NPI record last updated?

The NPPES record for Lavonne Charbonneau was last updated on February 18, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.