BONNIE ELIZABETH MINNICK PA-C
NPI 1811533284
Physician Assistant in Charlotte, NC

Q: What is Bonnie Minnick's NPI number?

The NPI number for Bonnie Minnick is 1811533284. It was assigned to this individual provider in the NPPES registry on November 20, 2019. The provider is also known as Bonnie Widenhouse.

Q: What is Bonnie Minnick's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Bonnie Minnick was last updated on July 18, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since November 20, 2019PECOS EnrolledAccepts Medicare Assignment

700 E MOREHEAD ST STE 300, CHARLOTTE, NC 28202(704) 362-5391 Get Directions Write a Review

NPPES record last updated: July 18, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 18, 2022, Dec 9, 2021, Mar 23, 2020 and 1 more (4 updates tracked since 2019).

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About Bonnie Elizabeth Minnick Pa-c NPPES

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

BONNIE ELIZABETH MINNICK PA-C (NPI 1811533284) is an individual physician assistant in Charlotte, North Carolina, licensed in Florida (PA9112677) and active in the NPI registry since November 2019. She is enrolled in Medicare PECOS, is affiliated with Carolinas Medical Center-northeast, and maintains a secondary practice location in Orlando.

NPPES Registry Identity

NPI1811533284

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameBONNIE ELIZABETH MINNICKCredential: PA-C

Location Address700 E MOREHEAD ST STE 300Charlotte, NC 28202-2742

Mailing Address700 E Morehead St Ste 300Charlotte, NC 28202-2742 · (704) 334-7800

Phone(704) 362-5391

Sole ProprietorNo

Medical School CMSOtherGraduated 2019

Enumeration DateNovember 20, 2019

Last NPPES UpdateJuly 18, 20224 updates tracked since enumeration

NPPES CertifiedJuly 18, 2022

✔ NPI 1811533284 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

Licenses✔ Licensed in FL · PA9112677✔ Licensed in NC · 0010-11796

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.

700 E MOREHEAD ST STE 300, Charlotte, NC 28202

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Other Names 1

Former Name (1)Bonnie Widenhouse

Secondary Practice Location 1

Location 1601 E Rollins StOrlando, FL 32803-1248 · Phone (407) 303-5600 · Fax (317) 705-5047

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC.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

Bonnie Elizabeth Minnick 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 ID9830527084

PECOS Enrollment IDI20211216000077

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 3

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

Carolinas Medical Center-Northeast

Acute Care Hospitals · Concord, NC

4/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number340001

Location920 Church St NConcord, NC 28025 · Cabarrus County

Emergency services Birthing friendly

Carolinas Medical Center/Behav Health

Acute Care Hospitals · Charlotte, NC

2/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number340113

Location1000 Blythe BlvdCharlotte, NC 28203 · Mecklenburg County

Emergency services Birthing friendly

Atrium Health University City

Acute Care Hospitals · Charlotte, NC

4/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number340166

Location8800 North Tyron StreetCharlotte, NC 28262 · Mecklenburg County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28202 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

$83.90 typical visit price

range $54.12 – $165.09

Typical copayment $20.97 (range $13.53 – $41.27)

Most-billed visit code 99203

Established Patient

$67.72 typical visit price

range $17.21 – $134.61

Typical copayment $16.93 (range $4.30 – $33.65)

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.

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.

MRS. PAMELA SUTTON ORAVETZ P.A.-C

Physician Assistant (Medical)