Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1528036696 Individual Practitioner Female Practitioner

Bonnie L. Grundel , PA-C

Physician Assistant • Crestview, FL

Professional Overview & Biography Verified Profile Summary

Bonnie Grundel, PA-C is a registered healthcare professional specializing in Physician Assistant in Crestview, FL. Practice services are available at 369 N MAIN ST under active NPI credentials.

Frequently performed procedures and clinical services include established patient outpatient office visit, telephone medical discussion with physician, test for exercise-induced lung stress. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

369 N Main St

Crestview, FL 325363541

Telephone 8503986963
Fax 8503988277
Associated Practice Facility / Clinic
🏢 Main Street Medical Center Facility NPI 1790116762

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Crestview, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 12.8 Yrs
State Avg: 11.1 Yrs
Regional Practice Density
16 Specialists

Practicing in Crestview, FL (10376 Statewide)

Telehealth Adoption Rate
12.5% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
62.7% 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 (2021)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
260 219 $297.00 $108.76
99213 Established patient office or other outpatient visit, typically 15 minutes
102 91 $201.00 $77.31
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more
37 37 $398.00 $148.02

Medical Specialties & State Licenses

CMS Verified: 2020-09-08
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License FL PA9101053

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
123872 CRESTVIEW (AL)
Medicaid State Provider ID
291926500 (FL)
Medicaid State Provider ID
123873 SANTA ROSA (AL)
Commercial Insurance / Payer ID Blue Cross Blue Shield
Y015K (FL)
Commercial Insurance / Payer ID Railroad Mcr
P00900587 (FL)
Commercial Insurance / Payer ID Optimum
P931666 (FL)
Commercial Insurance / Payer ID Health First Network
17667 (FL)
Commercial Insurance / Payer ID Freedom Health
P986780 (FL)

Practice Associates & Co-Workers

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

7 Associated Practitioners
Lita Danlag , FNP-C

Nurse Practitioner

NPI 1013877117

Family Nurse Practitioner (Certified)

Jonathan Aspinwall , ARNP

Nurse Practitioner - Acute Care

NPI 1063804722

Advanced Registered Nurse Practitioner

Courtney Stanley , APRN

Nurse Practitioner

NPI 1134089931

Advanced Practice Registered Nurse

Amy Russell , ARNP

Nurse Practitioner - Primary Care

NPI 1215184643

Advanced Registered Nurse Practitioner

Lindsay Adams , APRN

Nurse Practitioner

NPI 1235852757

Advanced Practice Registered Nurse

John Cuthriell , APRN

Nurse Practitioner - Family

NPI 1235991506

Advanced Practice Registered Nurse

Career & Practice History Timeline

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

7 Historical Events
📍
Updated Business Mailing Address September 08, 2020

Registered at 550 REDSTONE AVE W STE 490, CRESTVIEW, FL 325366457 (Tel: 8506898321)

NPI Profile Active April 25, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location April 25, 2016

Registered at 369 N MAIN ST, CRESTVIEW, FL 325363541 (Tel: 8503986963)

📍
Updated Business Mailing Address April 25, 2016

Registered at 369N MAIN ST, CRESTVIEW, FL 325363541 (Tel: 8503986963)

👤
Provider Name / Credentials Updated April 25, 2016

Recorded as BONNIE GRUNDEL, PA-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 25, 2016

Physician Assistant (License #PA9101053 in FL)

🟢
Initial NPI Registration & Enumeration March 14, 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: 1528036696
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 14, 2006
Last Update: September 08, 2020
Sole Proprietor: No

Mailing Address

550 Redstone Ave W Ste 490

Crestview, FL 325366457

Phone: 8506898321

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.