Amanda Bonniwell, PA-C
NPI 1609416833ActiveIndividual· Physician Assistant· Minneapolis, MN
Physician Assistant (PA-C) with Healtheast Medical Research Institute and 1 other group, practicing in Minneapolis, Minnesota. Mostly services rather than prescriptions: Medicare paid $1,026 for 11 patients in 2024, with only 16 Part D claims. Lists Fairview Lakes Health Services and 2 other hospitals as hospital affiliations.
Overview
| NPI | 1609416833 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PA-C |
| Sole proprietor | No |
| NPI issued | Jan 15, 2020 |
| Last updated in NPPES | Jun 27, 2024 |
| Certified by provider | Jun 27, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | 13293 | MN |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physician Assistant (MN) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 11 |
|---|---|
| Services billed | 17 across 13 procedure codes |
| Paid by Medicare | $1,026 |
Part D prescriptions in 2024
| Prescriptions (claims) | 16 · 18 30-day fills |
|---|---|
| Patients | 13 |
| Total drug cost | $97.96 |
| Generic share | 100% of claims |
Education and affiliations
| Graduation year | 2019 |
|---|---|
| Medicare specialty | Physician Assistant |
| Telehealth | Offers telehealth |
Medical groups
- Healtheast Medical Research InstituteSaint Paul, MN · 649 clinicians
- Fairview Specialty ServicesMaplewood, MN · 306 clinicians
Hospital affiliations
- Fairview Lakes Health ServicesWyoming, MN
- M Health Fairview St John's HospitalMaplewood, MN
- M Health Fairview Woodwinds HospitalWoodbury, MN
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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