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Active NPI 1487438560 Individual Practitioner Female Practitioner

Mackenzie Bonnewitz , PA-C

Physician Assistant • Broken Arrow, OK

Professional Overview & Biography Verified Profile Summary

Mackenzie Bonnewitz, PA-C is a registered healthcare professional specializing in Physician Assistant in Broken Arrow, OK. Practice services are available at 2530 N ELM PL under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

2530 N Elm Pl

Broken Arrow, OK 740121285

Telephone 9189941402
Fax 9185124806
Associated Practice Facility / Clinic
🏢 Cfp Acquisitions, Inc. Facility NPI 1194102046

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Broken Arrow, OK

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 14.2 Yrs
State Avg: 14.2 Yrs
Regional Practice Density
27 Specialists

Practicing in Broken Arrow, OK (1911 Statewide)

Telehealth Adoption Rate
11.1% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2026-01-07
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

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

1 Associated Practitioners
NPI 1043704976

Doctor of Pharmacy (Pharm.D.)

Career & Practice History Timeline

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

9 Historical Events
📍
Updated Practice Location January 07, 2026

Registered at 2530 N ELM PL, BROKEN ARROW, OK 740121285 (Tel: 9189941402)

📍
Updated Business Mailing Address January 07, 2026

Registered at 2530 N ELM PL, BROKEN ARROW, OK 740121285 (Tel: 9189941402)

👤
Provider Name / Credentials Updated January 07, 2026

Recorded as MACKENZIE BONNEWITZ, PA-C

NPI Profile Active August 21, 2023

NPI status registered as active in NPPES database

📍
Updated Practice Location August 21, 2023

Registered at 1211 E 8TH ST APT 201, TULSA, OK 741204661 (Tel: 9189066523)

📍
Updated Business Mailing Address August 21, 2023

Registered at 1211 E 8TH ST APT 201, TULSA, OK 741204661 (Tel: 9189066523)

👤
Provider Name / Credentials Updated August 21, 2023

Recorded as MACKENZIE BONNEWITZ, PA-S

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 21, 2023

Physician Assistant

🟢
Initial NPI Registration & Enumeration August 21, 2023

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: 1487438560
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 21, 2023
Last Update: January 07, 2026
Sole Proprietor: No

Mailing Address

2530 N Elm Pl

Broken Arrow, OK 740121285

Phone: 9189941402

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.