Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1639629579 Individual Practitioner Female Practitioner

Loren E Bonenclark , PA-C

Physician Assistant • Jacksonville, FL

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Loren Bonenclark, PA-C is a certified Physician Assistant practicing in Jacksonville, FL. With approximately 10 years of clinical experience since completing medical education in 2016, Loren Bonenclark delivers high-quality medical care to the local community at 1301 PALM AVE.

Loren Bonenclark is affiliated with Bold City 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

1301 Palm Ave

Jacksonville, FL 322078432

Telephone 9042027300
Fax 9042027433
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Other

Graduation Year

2016

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Jacksonville, FL

Established Specialist (10-20 Yrs)
Practitioner Clinical Experience
10 Yrs -1.2 yrs vs City Avg
City Avg: 11.2 Yrs
State Avg: 11.1 Yrs
Regional Practice Density
844 Specialists

Practicing in Jacksonville, FL (10376 Statewide)

Telehealth Adoption Rate
20.5% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
51.1% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Bonenclark (10 Years) 10 Yrs
Jacksonville Specialty Average (11.2 Years) 11.2 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
263 50 $11.10 $5.65
99213 Established patient office or other outpatient visit, typically 15 minutes
111 96 $157.10 $79.90
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more
106 83 $97.37 $49.58
17000 Destruction of skin growth
97 80 $115.68 $44.96
11102 Tangential biopsy of single skin lesion
79 71 $169.82 $79.28
17110 Destruction of up to 14 skin growths
50 41 $192.41 $95.09
11103 Biopsy of related skin growth, each additional growth
49 32 $85.24 $43.42
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more
42 42 $193.94 $98.08
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
22 17 $221.83 $112.33

Medical Specialties & State Licenses

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License FL PA9112402

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.

Physician Assistant - Surgical

NUCC Taxonomy Code: 363AS0400X

State License FL PA9112402

Definition to come...

Physician Assistant - Surgical

NUCC Taxonomy Code: 363AS0400X

State License MD C06217

Definition to come...

Hospital & Practice Group Affiliations

Bold City Dermatology Llc

316 Paseo Reyes Dr, St Augustine, FL 320958464

Phone: 9045445800

Practice Associates & Co-Workers

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

40 Associated Practitioners
Dr. George Filosa , MD

Colon & Rectal Surgery

NPI 1013396647

Doctor of Medicine (M.D.)

NPI 1013436252

Master of Science, MSPAS, Physician Assistant (Certified)

Victoria Grusauskas

Pharmacist - Oncology

NPI 1013838374
Dr. Mohammed Alqawasma , MD

Internal Medicine - Pulmonary Disease

NPI 1033671276

Doctor of Medicine (M.D.)

April Reagan , FNP-C, CNM

Nurse Practitioner

NPI 1043330475

Family Nurse Practitioner (Certified), Certified Nurse Midwife

Dr. Ina Jani , MD

Obstetrics & Gynecology - Gynecologic Oncology

NPI 1043600679

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

10 Historical Events
📍
Updated Practice Location September 24, 2019

Registered at 1301 PALM AVE, JACKSONVILLE, FL 322078432 (Tel: 9042027300)

📍
Updated Business Mailing Address September 24, 2019

Registered at PO BOX 45278, JACKSONVILLE, FL 322325278 (Tel: 9042022092)

👤
Provider Name / Credentials Updated September 24, 2019

Recorded as LOREN BONENCLARK, PA-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 24, 2019

Physician Assistant (License #PA9112402 in FL)

NPI Profile Active October 04, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location October 04, 2016

Registered at 22 S GREENE ST, BALTIMORE, MD 212011544 (Tel: 4013283365)

📍
Updated Business Mailing Address October 04, 2016

Registered at 2809 BOSTON ST, APARTMENT 408, BALTIMORE, MD 212244814 (Tel: 3528172070)

👤
Provider Name / Credentials Updated October 04, 2016

Recorded as LOREN BONENCLARK, PA

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 04, 2016

Physician Assistant (License #C06217 in MD)

🟢
Initial NPI Registration & Enumeration October 04, 2016

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: 1639629579
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 04, 2016
Last Update: September 24, 2019
Sole Proprietor: No

Mailing Address

Po Box 45278

Jacksonville, FL 322325278

Phone: 9042022092

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.