KIMBERLY ANN BONVILLIAN PA-C
NPI 1871350702
Physician Assistant in Slidell, LA

Active since March 06, 2024PECOS EnrolledAccepts Medicare Assignment
2750 GAUSE BLVD E, SLIDELL, LA 70461(985) 639-3777(985) 639-3725 Get Directions Write a Review

NPPES record last updated: September 4, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Sep 4, 2024, Aug 14, 2024, Mar 6, 2024 (3 updates tracked since 2024).

About Kimberly Ann Bonvillian Pa-c NPPES

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

KIMBERLY ANN BONVILLIAN PA-C (NPI 1871350702) is an individual physician assistant in Slidell, Louisiana, licensed in Louisiana (343191) and active in the NPI registry since March 2024. She is enrolled in Medicare PECOS, is affiliated with Ochsner Medical Center Acute, and is a graduate of Other (2024).

NPPES Registry Identity

NPI1871350702
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameKIMBERLY ANN BONVILLIANCredential: PA-C
Location Address2750 GAUSE BLVD ESlidell, LA 70461-4149
Mailing Address1514 Jefferson HwyNew Orleans, LA 70121-2429 · (504) 842-4000
Fax(985) 639-3725
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateMarch 6, 2024
Last NPPES UpdateSeptember 4, 20243 updates tracked since enumeration
NPPES CertifiedSeptember 4, 2024
NPI 1871350702 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 LA · 343191
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.

2750 GAUSE BLVD E, Slidell, LA 70461

Accepted 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

Kimberly Ann Bonvillian 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 ID9436690609
PECOS Enrollment IDI20240916003272
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.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
22 services21 patients

Hospital Affiliations CMS Care Compare 2

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

Ochsner Medical Center Acute

Acute Care Hospitals · New Orleans, LA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number190036
Location1516 Jefferson HwyNew Orleans, LA 70121 · Jefferson County
Emergency services Birthing friendly

Slidell Memorial Hospital

Acute Care Hospitals · Slidell, LA
3/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number190040
Location1001 Gause BlvdSlidell, LA 70458 · St. Tammany County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 70461 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
$83.60 typical visit price
range $53.43 – $164.73
Typical copayment $20.90 (range $13.35 – $41.18)
Most-billed visit code 99203
Established Patient
$67.06 typical visit price
range $16.64 – $133.62
Typical copayment $16.76 (range $4.16 – $33.40)
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.

Family Medicine
2750 GAUSE BLVD E
SLIDELL, LA 70461
Internal Medicine (Gastroenterology)
2750 GAUSE BLVD E
SLIDELL, LA 70461
Internal Medicine (Gastroenterology)
2750 GAUSE BLVD E
SLIDELL, LA 70461
Family Medicine
2750 GAUSE BLVD E
SLIDELL, LA 70461
Internal Medicine
2750 GAUSE BLVD E
SLIDELL, LA 70461
Obstetrics & Gynecology
2750 GAUSE BLVD E
SLIDELL, LA 70461
Podiatrist
2750 GAUSE BLVD E
SLIDELL, LA 70461
Pediatrics
2750 GAUSE BLVD E
SLIDELL, LA 70461

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1871350702, enumerated as an "individual" on March 06, 2024.

The provider is located at 2750 GAUSE BLVD E SLIDELL, LA 70461 and the phone number is (985) 639-3777.

Physician Assistant with taxonomy code 363A00000X.

The provider might be accepting Accepts: HMO Louisiana. Please consult your insurance carrier or call the provider to verify.

Kimberly Bonvillian is affiliated with: OCHSNER MEDICAL CENTER ACUTE and SLIDELL MEMORIAL HOSPITAL.