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Active NPI 1841627353 Individual Practitioner Female Practitioner

Baokim Nguyen Bonelli , PA-C

Physician Assistant • Westerly, RI

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Baokim Bonelli, PA-C is a certified Physician Assistant practicing in Westerly, RI. With approximately 13 years of clinical experience since graduating from State University Of New York At Stony Brook, School Of Medicine in 2013, Baokim Bonelli delivers high-quality medical care to the local community at 17 WELLS ST STE 203.

Baokim Bonelli maintains professional affiliations with Brown Dermatology Inc, Lifespan Physician Group Inc 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

17 Wells St Ste 203

Westerly, RI 028912923

Telephone 4013480660
Fax 4013483090
Associated Practice Facility / Clinic
🏢 Newport Hospital Facility NPI 1457346413

Medicare Profile & Education

Medical School

State University Of New York At Stony Brook, School Of Medicine

Graduation Year

2013

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Westerly, RI

Established Specialist (10-20 Yrs)
Practitioner Clinical Experience
13 Yrs -2.6 yrs vs City Avg
City Avg: 15.6 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
13 Specialists

Practicing in Westerly, RI (687 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
64.5% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Bonelli (13 Years) 13 Yrs
Westerly Specialty Average (15.6 Years) 15.6 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
592 111 $15.39 $5.70
99213 Established patient office or other outpatient visit, typically 15 minutes
346 241 $210.00 $77.52
17000 Destruction of skin growth
218 152 $157.78 $48.38
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
118 108 $296.74 $109.65
11102 Tangential biopsy of single skin lesion
78 65 $239.05 $76.66
17110 Destruction of up to 14 skin growths
78 64 $268.72 $94.57
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more
42 42 $259.76 $94.03
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more
27 27 $386.26 $142.97
11103 Biopsy of related skin growth, each additional growth
18 15 $118.67 $43.28

Medical Specialties & State Licenses

CMS Verified: 2025-12-17
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License RI PA01411

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
1841627353 (RI)

Hospital & Practice Group Affiliations

Brown Dermatology Inc

593 Eddy St, Providence, RI 029034923

Phone: 4014447959

Brown Dermatology Inc

65 Village Square Dr, South Kingstown, RI 028792292

Phone: 4015157979

Brown Dermatology Inc

17 Wells St, Westerly, RI 028912923

Phone: 4013480660

Lifespan Physician Group Inc

65 Village Square Dr, South Kingstown, RI 028792569

Phone: 4014447959

Secondary Practice Locations

65 Village Square Dr Ste 201

South Kingstown, RI 028792569

Phone: 4014447959

Practice Associates & Co-Workers

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

1 Associated Practitioners
NPI 1184622714

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 December 17, 2025

Registered at 17 WELLS ST STE 203, WESTERLY, RI 028912923 (Tel: 4013480660)

📍
Updated Business Mailing Address December 17, 2025

Registered at 15 LA SALLE SQ, PROVIDENCE, RI 029031814 (Tel: 4014446779)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 17, 2025

Physician Assistant (License #PA01411 in RI)

NPI Profile Active February 22, 2017

NPI status registered as active in NPPES database

📍
Updated Business Mailing Address February 22, 2017

Registered at 26 FIREMANS MEMORIAL DRIVE, SUITE 115, POMONA, NY 10970 (Tel: 8007508616)

📍
Updated Practice Location February 22, 2017

Registered at 214 SULLIVAN ST, SUITE/APT #, NEW YORK, NY 100121354 (Tel: 2123853700)

👤
Provider Name / Credentials Updated February 22, 2017

Recorded as BAOKIM BONELLI, PA-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 22, 2017

Physician Assistant (License #017064 in NY)

NPI Profile Active September 28, 2013

NPI status registered as active in NPPES database

📍
Updated Practice Location September 28, 2013

Registered at 214 SULLIVAN ST, SUITE/APT #, NEW YORK, NY 100121354 (Tel: 2123853700)

📍
Updated Business Mailing Address September 28, 2013

Registered at 214 SULLIVAN ST, SUITE/APT #, NEW YORK, NY 100121354 (Tel: 2123853700)

👤
Provider Name / Credentials Updated September 28, 2013

Recorded as BAOKIM BONELLI, PA-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 28, 2013

Physician Assistant (License #017064 in NY)

🟢
Initial NPI Registration & Enumeration September 28, 2013

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: 1841627353
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 28, 2013
Last Update: December 17, 2025
Sole Proprietor: No

Mailing Address

15 La Salle Sq

Providence, RI 029031814

Phone: 4014446779

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.