Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1578541223 Individual Practitioner Female Practitioner

Susan E. Bonenclark , PA-C

Physician Assistant • Belleview, FL

Professional Overview & Biography Verified Profile Summary

Susan Bonenclark, PA-C is a registered healthcare professional specializing in Physician Assistant in Belleview, FL. Practice services are available at 5051 SE 110TH ST under active NPI credentials.

Frequently performed procedures and clinical services include emergency department visit with low level of medical decision making, emergency department visit with moderate level of medical decision making, emergency department visit for life threatening or functioning severity. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

5051 Se 110th St

Belleview, FL 344203115

Telephone 3526741730
Fax 3526748930
Associated Practice Facility / Clinic
🏢 Joseph C Hildner Md Inc Facility NPI 1396731519

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Belleview, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 18.0 Yrs
State Avg: 11.1 Yrs
Regional Practice Density
4 Specialists

Practicing in Belleview, FL (10376 Statewide)

Telehealth Adoption Rate
25.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
92.9% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2020)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99283 Emergency department visit with low level of medical decision making
14 14 $915.00 $56.99
99284 Emergency department visit with moderate level of medical decision making
13 13 $1358.00 $105.17

Medical Specialties & State Licenses

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License FL PA9103359

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

5 Associated Practitioners
Mukti Patel , PA-C

Physician Assistant - Medical

NPI 1164492864

Physician Assistant (Certified)

Dr. Nira Colyn , MD

Internal Medicine

NPI 1336349893

Doctor of Medicine (M.D.)

Regina Dubois-Rodabaugh

Nurse Practitioner - Psychiatric/Mental Health

NPI 1730481953
Samantha Jackson

Nurse Practitioner

NPI 1922855295
NPI 1982208161

Doctor of Pharmacy (Pharm.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

11 Historical Events
NPI Profile Active October 03, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location October 03, 2017

Registered at 5051 SE 110TH ST, BELLEVIEW, FL 344203115 (Tel: 3526741730)

📍
Updated Business Mailing Address October 03, 2017

Registered at 1020 LAKE SUMTER LNDG, THE VILLAGES, FL 321622699 (Tel: 3526748820)

👤
Provider Name / Credentials Updated October 03, 2017

Recorded as SUSAN BONENCLARK, PA-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 03, 2017

Physician Assistant (License #PA9103359 in FL)

NPI Profile Active November 18, 2015

NPI status registered as active in NPPES database

📍
Updated Practice Location November 18, 2015

Registered at 5051 SE 110TH ST, BELLEVIEW, FL 344203115 (Tel: 3526741730)

📍
Updated Business Mailing Address November 18, 2015

Registered at 1020 LAKE SUMTER LNDG, THE VILLAGES, FL 321622699 (Tel: 3526748820)

👤
Provider Name / Credentials Updated November 18, 2015

Recorded as SUSAN BONENCLARK, PA-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 18, 2015

Physician Assistant (License #PA9103359 in FL)

🟢
Initial NPI Registration & Enumeration January 04, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1578541223
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 04, 2006
Last Update: October 03, 2017
Sole Proprietor: No

Mailing Address

1020 Lake Sumter Lndg

The Villages, FL 321622699

Phone: 3526748820

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.