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ANDREA FJELSTUL-BONERT MD
NPI 1801699533
Student in an Organized Health Care Education/Training Program in Davenport, IA

Active since March 28, 2025PECOS EnrolledAccepts Medicare Assignment
1345 W CENTRAL PARK AVE, DAVENPORT, IA 52804(563) 421-4400 Get Directions Write a Review

NPPES record last updated: March 28, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Andrea Fjelstul-bonert Md NPPES

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

ANDREA FJELSTUL-BONERT MD (NPI 1801699533) is an individual student in an organized health care education/training program in Davenport, Iowa and active in the NPI registry since March 2025. She is enrolled in Medicare PECOS, is affiliated with Genesis Hlth System Dba Genesis Mdl Ctr-illini, and is a graduate of University Of Iowa, Rj & L Carver College Of Medicine (2025).

NPPES Registry Identity

NPI1801699533
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameANDREA FJELSTUL-BONERTCredential: MD
Location Address1345 W CENTRAL PARK AVEDavenport, IA 52804-1844
Mailing Address1345 W Central Park AveDavenport, IA 52804-1844
Phone(563) 421-4400
Sole ProprietorNo
Medical School CMSUniversity Of Iowa, Rj & L Carver College Of MedicineGraduated 2025
Enumeration DateMarch 28, 2025
NPPES CertifiedMarch 28, 2025
✔ NPI 1801699533 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
1345 W CENTRAL PARK AVE, Davenport, IA 52804
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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

Andrea Fjelstul-bonert 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.

PECOS PAC ID5294233227
PECOS Enrollment IDI20250808004104
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 Reassignment

Medicare enrollment records show Andrea Fjelstul-bonert reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Genesis Health System
Same address
Family Medicine
1345 W CENTRAL PARK AVE
Davenport, IA 52804
  • Reassigned Medicare billing, Iowa enrollment
  • 300 clinicians in this Medicare group
NPI 1922012764 (563) 421-4400

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare 2

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

Genesis Hlth System Dba Genesis Mdl Ctr-Illini

Acute Care Hospitals · Silvis, IL
2/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number140275
Location801 Illini DrSilvis, IL 61282 · Rock Island County
Emergency services Birthing friendly

Genesis Medical Center-Davenport

Acute Care Hospitals · Davenport, IA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number160033
Location1227 East Rusholme StreetDavenport, IA 52803 · Scott County
Emergency services Birthing friendly

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. JESICAH ELISABETH AMBRISCO DO
Family Medicine
1345 W CENTRAL PARK AVE
DAVENPORT, IA 52804
Scott County (563) 421-4400
CAROLINE SIDLINGER DNP
Nurse Practitioner (Family)
1345 W CENTRAL PARK AVE
DAVENPORT, IA 52804
Scott County (563) 421-4400
THANG LUONG D.O.
Family Medicine
1345 W CENTRAL PARK AVE
DAVENPORT, IA 52804
Scott County (563) 421-4400
DAILEN MARIE FOLKEDAHL DO
Family Medicine
1345 W CENTRAL PARK AVE
DAVENPORT, IA 52804
Scott County (563) 421-4400
JOSHUA CARPENTER M.D.
Family Medicine
1345 W CENTRAL PARK AVE
DAVENPORT, IA 52804
Scott County (563) 421-4400
ROSS BURANDT
Student in an Organized Health Care Education/Training Program
1345 W CENTRAL PARK AVE
DAVENPORT, IA 52804
Scott County (563) 421-4400
STEPHANIE ANNE MCMILLAN DO
Student in an Organized Health Care Education/Training Program
1345 W CENTRAL PARK AVE
DAVENPORT, IA 52804
Scott County (563) 421-4400
DR. BRADLEY W JOHNSON D.O
Family Medicine
1345 W CENTRAL PARK AVE
DAVENPORT, IA 52804
Scott County (563) 421-4400

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 Andrea Fjelstul-bonert's NPI number?

The NPI number for Andrea Fjelstul-bonert is 1801699533. It was assigned to this individual provider in the NPPES registry on March 28, 2025.

Where is Andrea Fjelstul-bonert located?

Andrea Fjelstul-bonert practices at 1345 W Central Park Ave, Davenport, IA 52804. The listed phone number is (563) 421-4400.

What is Andrea Fjelstul-bonert's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Andrea Fjelstul-bonert enrolled in Medicare?

Yes. Andrea Fjelstul-bonert 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 organization bills Medicare for Andrea Fjelstul-bonert's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Andrea Fjelstul-bonert reassigns Medicare benefits to Genesis Health System (Davenport, IA). The 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 Andrea Fjelstul-bonert's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Andrea Fjelstul-bonert affiliated with any hospitals?

According to CMS data, Andrea Fjelstul-bonert is affiliated with Genesis Hlth System Dba Genesis Mdl Ctr-Illini and Genesis Medical Center-Davenport.

When was this NPI record last updated?

The NPPES record for Andrea Fjelstul-bonert was last updated on March 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months 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.