Active NPI 1740590454 Individual Practitioner Female Practitioner

Bonnie Rose Fox , PA

Physician Assistant • Cocoa Beach, FL

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Bonnie Fox, PA is a certified Physician Assistant practicing in Cocoa Beach, FL. With approximately 16 years of clinical experience since completing medical education in 2010, Bonnie Fox delivers high-quality medical care to the local community at 105 S BANANA RIVER BLVD FL 2.

Bonnie Fox is affiliated with Shadetree Dermatology Llc and accepts Medicare assignment.

Frequently performed procedures and clinical services include destruction of precancer skin growth, 2-14 growths, established patient outpatient office visit, destruction of skin growth. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

105 S Banana River Blvd Fl 2

Cocoa Beach, FL 329315041

Telephone 3212000346

Fax 3214616667

Associated Practice Facility / Clinic

🏢 Shadetree Dermatology Llc Facility NPI 1366297376

Medicare Profile & Education

Medical School

Other

Graduation Year

2010

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Cocoa Beach, FL

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

16 Yrs +5.0 yrs vs City Avg

City Avg: 11.0 Yrs

State Avg: 11.1 Yrs

Regional Practice Density

8 Specialists

Practicing in Cocoa Beach, FL (10376 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

65.0% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Fox (16 Years) 16 Yrs

Cocoa Beach Specialty Average (11.0 Years) 11.0 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	2,562	429	$12.90	$5.32
99213 Established patient office or other outpatient visit, typically 15 minutes	867	706	$179.86	$75.18
17000 Destruction of skin growth	725	563	$132.73	$39.26
11102 Tangential biopsy of single skin lesion	459	372	$197.94	$67.51
17110 Destruction of up to 14 skin growths	376	318	$221.93	$88.24
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	342	277	$254.44	$106.60
11103 Biopsy of related skin growth, each additional growth	192	110	$99.10	$40.92
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	141	129	$111.81	$46.76
17004 Destruction of precancer skin growth, 15 or more growths	139	109	$331.30	$136.36
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	80	74	$599.07	$246.99
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	78	68	$483.60	$106.95
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	53	27	$2.71	$0.98
11900 Injection into skin growth, 1-7 growths	39	31	$113.64	$33.34
J9260 Injection, methotrexate sodium, 50 mg	37	23	$6.22	$2.59
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	35	29	$351.83	$123.61
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	32	32	$223.11	$93.16
96405 Administration of chemotherapy into growth, 1-7	28	21	$162.02	$42.93
17261 Destruction of cancer skin growth of trunk, arms, or legs, 0.6-1.0 cm	27	25	$291.10	$99.16
17111 Destruction of skin growth, 15 or more growths	24	20	$259.89	$104.03
11104 Punch biopsy, first skin growth	22	22	$245.59	$99.52
11300 Shaving of 0.5 centimeters or less skin growth of the trunk, arms, or legs	19	19	$198.70	$57.87
11301 Shaving of skin growth of body, arms, or legs, 0.6-1.0 cm	17	17	$238.42	$93.10
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	16	16	$333.42	$140.34
11302 Shaving of skin growth of body, arms, or legs, 1.1-2.0 cm	14	13	$269.81	$103.83
11603 Removal of cancer skin growth of body, arms, or legs, 2.1-3.0 cm	13	13	$552.96	$115.24
69100 Biopsy of ear	12	11	$190.00	$51.88

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	2,323	406	$13.68	$5.37
99213 Established patient office or other outpatient visit, typically 15 minutes	1,003	773	$181.33	$75.11
17000 Destruction of skin growth	753	561	$134.36	$39.82
11102 Tangential biopsy of single skin lesion	467	364	$202.87	$71.26
17110 Destruction of up to 14 skin growths	373	295	$224.31	$89.29
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	283	210	$255.68	$106.52
11103 Biopsy of related skin growth, each additional growth	188	109	$101.56	$41.28
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	167	148	$113.41	$46.82
17004 Destruction of precancer skin growth, 15 or more growths	119	85	$335.00	$140.26
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	74	60	$488.70	$107.72
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	72	63	$605.13	$246.78
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	56	56	$226.79	$94.50
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	55	33	$3.67	$1.08
11900 Injection into skin growth, 1-7 growths	45	32	$114.00	$34.74
J9260 Injection, methotrexate sodium, 50 mg	44	25	$5.77	$2.34
96405 Administration of chemotherapy into growth, 1-7	43	25	$166.30	$47.72
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	37	32	$357.35	$127.05
17261 Destruction of cancer skin growth of trunk, arms, or legs, 0.6-1.0 cm	31	26	$293.48	$94.79
69100 Biopsy of ear	28	24	$193.36	$53.04
11104 Punch biopsy, first skin growth	26	26	$251.46	$103.76
17111 Destruction of skin growth, 15 or more growths	23	15	$262.57	$106.85
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	19	19	$337.16	$139.82
12042 Intermediate repair of wound of neck, hands, feet, or genitals, 2.6-7.5 cm	18	18	$622.67	$257.79
11300 Shaving of 0.5 centimeters or less skin growth of the trunk, arms, or legs	17	15	$202.12	$54.20
11622 Removal of cancer skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm	14	13	$505.29	$105.03
11301 Shaving of skin growth of body, arms, or legs, 0.6-1.0 cm	12	12	$243.33	$97.04

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	1,867	325	$13.93	$5.55
99213 Established patient office or other outpatient visit, typically 15 minutes	838	643	$182.26	$76.56
17000 Destruction of skin growth	612	449	$134.75	$40.44
11102 Tangential biopsy of single skin lesion	413	323	$204.08	$71.97
17110 Destruction of up to 14 skin growths	352	268	$224.95	$90.96
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	243	187	$256.31	$107.76
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	138	118	$114.38	$47.68
11103 Biopsy of related skin growth, each additional growth	138	87	$102.33	$42.89
17004 Destruction of precancer skin growth, 15 or more growths	103	76	$334.71	$141.24
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	68	68	$226.99	$95.37
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	55	39	$4.00	$1.17
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	50	45	$490.00	$111.29
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	48	44	$607.00	$255.34
11900 Injection into skin growth, 1-7 growths	47	38	$113.98	$36.96
J9260 Injection, methotrexate sodium, 50 mg	31	16	$6.00	$2.22
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	30	24	$358.00	$125.53
96405 Administration of chemotherapy into growth, 1-7	29	15	$167.07	$57.09
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	26	26	$338.12	$142.33
96567 Application of light and light-sensitive drugs to aid destruction of premalignant skin growths, per session	15	15	$279.93	$117.52
J7308 Aminolevulinic acid hcl for topical administration, 20%, single unit dosage form (354 mg)	15	15	$810.00	$388.17
11104 Punch biopsy, first skin growth	14	14	$253.00	$106.46
17261 Destruction of cancer skin growth of trunk, arms, or legs, 0.6-1.0 cm	13	13	$294.00	$118.71
69100 Biopsy of ear	12	11	$194.00	$64.64

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	1,731	298	$12.91	$5.37
99213 Established patient office or other outpatient visit, typically 15 minutes	719	596	$180.71	$77.93
17000 Destruction of skin growth	491	388	$130.90	$39.83
11102 Tangential biopsy of single skin lesion	396	322	$204.55	$74.26
17110 Destruction of up to 14 skin growths	288	226	$223.84	$91.73
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	198	167	$252.88	$111.18
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	141	117	$109.77	$47.32
11103 Biopsy of related skin growth, each additional growth	138	94	$105.07	$44.84
17004 Destruction of precancer skin growth, 15 or more growths	103	75	$328.27	$138.94
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	50	46	$608.66	$257.87
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	47	43	$491.32	$106.16
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	44	44	$224.86	$96.65
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	42	30	$4.00	$1.31
11900 Injection into skin growth, 1-7 growths	35	29	$112.83	$36.39
96405 Administration of chemotherapy into growth, 1-7	25	15	$169.00	$66.36
J9260 Injection, methotrexate sodium, 50 mg	24	15	$6.00	$2.19
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	22	22	$354.59	$141.70
96567 Application of light and light-sensitive drugs to aid destruction of premalignant skin growths, per session	22	21	$277.09	$119.67
11300 Shaving of 0.5 centimeters or less skin growth of the trunk, arms, or legs	22	20	$202.55	$55.36
J7308 Aminolevulinic acid hcl for topical administration, 20%, single unit dosage form (354 mg)	22	21	$810.00	$390.03
17261 Destruction of cancer skin growth of trunk, arms, or legs, 0.6-1.0 cm	18	16	$294.67	$108.84
11104 Punch biopsy, first skin growth	18	18	$256.61	$107.20
17111 Destruction of skin growth, 15 or more growths	18	14	$262.67	$109.53
11622 Removal of cancer skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm	15	15	$511.00	$109.52
69100 Biopsy of ear	13	13	$197.54	$61.69
12042 Intermediate repair of wound of neck, hands, feet, or genitals, 2.6-7.5 cm	11	11	$623.00	$266.89

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	1,838	351	$10.85	$5.00
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	823	681	$208.56	$93.46
17000 Destruction of skin growth	569	476	$126.63	$39.99
11102 Tangential biopsy of single skin lesion	398	319	$181.75	$71.67
17110 Destruction of up to 14 skin growths	326	265	$209.06	$89.72
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	207	170	$85.24	$38.83
99213 Established patient office or other outpatient visit, typically 15 minutes	195	171	$143.85	$64.19
11103 Biopsy of related skin growth, each additional growth	145	88	$99.66	$45.52
17004 Destruction of precancer skin growth, 15 or more growths	103	80	$296.71	$134.35
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	65	43	$4.00	$1.46
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	61	56	$575.66	$254.66
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	53	53	$202.42	$90.88
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	52	41	$475.54	$112.40
11900 Injection into skin growth, 1-7 growths	43	40	$96.88	$32.34
11104 Punch biopsy, first skin growth	32	31	$240.69	$107.02
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	31	27	$348.65	$141.62
17261 Destruction of cancer skin growth of trunk, arms, or legs, 0.6-1.0 cm	29	27	$277.72	$105.11
96567 Application of light and light-sensitive drugs to aid destruction of premalignant skin growths, per session	21	21	$257.38	$110.34
J7308 Aminolevulinic acid hcl for topical administration, 20%, single unit dosage form (354 mg)	20	20	$810.00	$383.31
99201 New patient office or other outpatient visit, typically 10 minutes	17	17	$85.47	$39.16
69100 Biopsy of ear	17	17	$196.00	$54.57
17111 Destruction of skin growth, 15 or more growths	15	13	$253.87	$107.66
11301 Shaving of skin growth of body, arms, or legs, 0.6-1.0 cm	15	13	$224.13	$93.38
11302 Shaving of skin growth of body, arms, or legs, 1.1-2.0 cm	15	13	$268.87	$104.13
11603 Removal of cancer skin growth of body, arms, or legs, 2.1-3.0 cm	14	14	$541.86	$121.25
11300 Shaving of 0.5 centimeters or less skin growth of the trunk, arms, or legs	13	13	$198.00	$62.17
11311 Shaving of skin growth of face, ears, eyelids, nose, lips, or mouth, 0.6-1.0 cm	12	12	$249.58	$112.57
12042 Intermediate repair of wound of neck, hands, feet, or genitals, 2.6-7.5 cm	12	12	$552.50	$236.97
11622 Removal of cancer skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm	11	11	$481.18	$109.90

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	2,167	377	$12.00	$4.84
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	833	665	$219.00	$92.34
17000 Destruction of skin growth	624	492	$132.00	$41.32
11102 Tangential biopsy of single skin lesion	440	350	$198.00	$72.20
17110 Destruction of up to 14 skin growths	300	246	$220.00	$88.08
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	240	183	$90.00	$38.15
99213 Established patient office or other outpatient visit, typically 15 minutes	208	193	$149.00	$62.97
11103 Biopsy of related skin growth, each additional growth	168	105	$107.00	$44.98
17004 Destruction of precancer skin growth, 15 or more growths	165	115	$307.00	$128.98
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	72	39	$4.00	$1.61
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	48	39	$503.00	$107.36
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	46	41	$614.00	$260.38
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	44	44	$219.00	$92.70
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	43	36	$357.00	$135.37
11900 Injection into skin growth, 1-7 growths	39	35	$110.00	$33.98
J7308 Aminolevulinic acid hcl for topical administration, 20%, single unit dosage form (354 mg)	37	35	$810.00	$393.76
96567 Application of light and light-sensitive drugs to aid destruction of premalignant skin growths, per session	36	34	$241.00	$102.09
17261 Destruction of cancer skin growth of trunk, arms, or legs, 0.6-1.0 cm	32	31	$292.00	$104.31
99201 New patient office or other outpatient visit, typically 10 minutes	27	27	$92.00	$38.92
69100 Biopsy of ear	17	17	$198.00	$76.43
11301 Shaving of skin growth of body, arms, or legs, 0.6-1.0 cm	16	15	$240.00	$95.49
17111 Destruction of skin growth, 15 or more growths	14	12	$262.00	$111.11
99202 New patient office or other outpatient visit, typically 20 minutes	13	13	$154.00	$65.00
12042 Intermediate repair of wound of neck, hands, feet, or genitals, 2.6-7.5 cm	11	11	$599.00	$231.04
11104 Punch biopsy, first skin growth	11	11	$248.00	$105.11

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	2,358	378	$11.00	$4.49
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	643	525	$214.00	$90.42
17000 Destruction of skin growth	615	475	$133.00	$40.81
11100 Biopsy of single growth of skin and/or tissue	455	372	$211.00	$77.51
99213 Established patient office or other outpatient visit, typically 15 minutes	403	335	$145.00	$61.35
17110 Destruction of up to 14 skin growths	299	237	$222.00	$89.56
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	222	187	$87.00	$36.69
17004 Destruction of precancer skin growth, 15 or more growths	203	142	$290.00	$122.26
11101 Biopsy of each additional growth of skin and/or tissue	155	102	$67.00	$27.99
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	64	33	$4.00	$1.80
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	54	50	$606.00	$255.13
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	50	50	$216.00	$91.69
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	49	44	$499.00	$107.28
11900 Injection into skin growth, 1-7 growths	42	33	$113.00	$36.21
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	28	25	$353.00	$132.59
99202 New patient office or other outpatient visit, typically 20 minutes	28	28	$150.00	$63.27
96567 Application of light and light-sensitive drugs to aid destruction of premalignant skin growths, per session	27	25	$223.00	$93.17
J7308 Aminolevulinic acid hcl for topical administration, 20%, single unit dosage form (354 mg)	27	25	$810.00	$398.28
11200 Removal of skin tag, 1-15 skin tags	27	27	$180.00	$54.79
99201 New patient office or other outpatient visit, typically 10 minutes	22	22	$89.00	$37.59
17261 Destruction of cancer skin growth of trunk, arms, or legs, 0.6-1.0 cm	20	19	$289.00	$109.60
17111 Destruction of skin growth, 15 or more growths	20	18	$264.00	$110.93
69100 Biopsy of ear	16	16	$202.00	$60.94
11402 Removal of noncancer skin growth of body, arms, or legs, 1.1-2.0 cm	11	11	$336.00	$70.68
12042 Intermediate repair of wound of neck, hands, feet, or genitals, 2.6-7.5 cm	11	11	$582.00	$212.22

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	2,535	363	$12.04	$4.77
17000 Destruction of skin growth	624	460	$134.77	$39.25
99213 Established patient office or other outpatient visit, typically 15 minutes	530	450	$146.98	$61.03
11100 Biopsy of single growth of skin and/or tissue	513	394	$206.03	$75.82
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	330	279	$215.99	$89.55
17110 Destruction of up to 14 skin growths	269	206	$221.13	$87.72
11101 Biopsy of each additional growth of skin and/or tissue	263	151	$66.59	$27.92
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	252	196	$88.00	$36.44
17004 Destruction of precancer skin growth, 15 or more growths	186	145	$303.81	$125.85
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	106	50	$3.89	$1.79
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	100	89	$610.15	$250.94
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	87	74	$501.21	$108.26
11900 Injection into skin growth, 1-7 growths	58	45	$112.00	$29.48
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	49	49	$218.02	$91.27
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	42	34	$352.19	$120.89
11200 Removal of skin tag, 1-15 skin tags	32	31	$178.00	$45.37
17261 Destruction of cancer skin growth of trunk, arms, or legs, 0.6-1.0 cm	21	21	$288.76	$97.33
99201 New patient office or other outpatient visit, typically 10 minutes	19	19	$88.00	$37.04
69100 Biopsy of ear	14	14	$202.00	$48.23
11622 Removal of cancer skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm	12	11	$518.00	$126.36
11301 Shaving of skin growth of body, arms, or legs, 0.6-1.0 cm	12	11	$241.00	$88.11
12042 Intermediate repair of wound of neck, hands, feet, or genitals, 2.6-7.5 cm	11	11	$584.00	$210.81
12031 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.5 cm or less	11	11	$479.18	$163.30

Medical Specialties & State Licenses

CMS Verified: 2026-03-27

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License FL PA 9105677

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.

Hospital & Practice Group Affiliations

Shadetree Dermatology Llc

105 S Banana River Blvd, Cocoa Beach, FL 329315041

Phone: 3212000346

Secondary Practice Locations

389 Commerce Pkwy Ste 160

Rockledge, FL 329554202

Phone: 3212000346

Practice Associates & Co-Workers

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

3 Associated Practitioners

Shivani Patel , PA-C

Physician Assistant

NPI 1215379904

Physician Assistant (Certified)

Elysia Dana , APRN

Nurse Practitioner - Family

NPI 1225673809

Advanced Practice Registered Nurse

Dr. Vanessa Johnson , MD

Dermatology

NPI 1972948875

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

14 Historical Events

📍

Updated Practice Location March 27, 2026

Registered at 105 S BANANA RIVER BLVD FL 2, COCOA BEACH, FL 329315041 (Tel: 3212000346)

📍

Updated Business Mailing Address March 27, 2026

Registered at 105 S BANANA RIVER BLVD FL 2, COCOA BEACH, FL 329315041 (Tel: 3212000346)

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Updated Business Mailing Address June 25, 2020

Registered at 3300 S FISKE BLVD, ROCKLEDGE, FL 329554306 (Tel: 3215749139)

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NPI Profile Active February 18, 2017

NPI status registered as active in NPPES database

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Updated Practice Location February 18, 2017

Registered at 7125 MURRELL RD, STE A, MELBOURNE, FL 329407999 (Tel: 3217575141)

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Updated Business Mailing Address February 18, 2017

Registered at 7125 MURRELL RD, STE A, MELBOURNE, FL 329407999 (Tel: 3217575141)

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Provider Name / Credentials Updated February 18, 2017

Recorded as BONNIE FOX, PA

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Medical Taxonomy / Specialty Registered (Primary Specialty) February 18, 2017

Physician Assistant (License #PA 9105677 in FL)

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NPI Profile Active July 28, 2014

NPI status registered as active in NPPES database

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Updated Practice Location July 28, 2014

Registered at 7125 MURRELL RD, SUITE A, MELBOURNE, FL 329407999 (Tel: 3217575141)

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Updated Business Mailing Address July 28, 2014

Registered at 430 SHERIDAN AVE, SATELLITE BEACH, FL 329373048 (Tel: 3218065617)

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Provider Name / Credentials Updated July 28, 2014

Recorded as BONNIE FOX, PA

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 28, 2014

Physician Assistant (License #PA 9105677 in FL)

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Initial NPI Registration & Enumeration October 15, 2010

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1740590454

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: October 15, 2010

Last Update: March 27, 2026

Sole Proprietor: No

Update or Correct Profile

Mailing Address

105 S Banana River Blvd Fl 2

Cocoa Beach, FL 329315041

Phone: 3212000346

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.