NPIMap

Individual provider Active NPI

Kelly Field Bonneville, PA-C

  • Medical Physician Assistant
  • Lancaster, PA
National Provider Identifier
1245537265
Registry record updated Apr 2, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
MA054788 Issued in PA
Practice address
555 N Duke St
Lancaster, PA 17602-2250
Phone
(717) 544-5945
Fax
(717) 544-5944
NPI assigned
Feb 28, 2011
Last updated
Apr 2, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X MA054788 PA Primary

Addresses

Primary practice location

555 N Duke St
Lancaster, PA 17602-2250

Mailing address

555 N Duke St FL 3
Lancaster, PA 17602-2250
Phone (717) 544-5945

Other names 1

  • Kelly Nicole Field Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110406000907 PA Practitioner - Physician Assistant 2961686423 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lancaster General HospitalGroup PAC ID 1254240039, shared by 16 NPIs, 520 clinicians

Practice addresses (Care Compare)

2100 Harrisburg Pike
Lancaster, PA 17601-2644
Phone (717) 544-3197

2102 Harrisburg Pike
Lancaster, PA 17601-2644
Phone (717) 544-9400

2106 Harrisburg Pike
Suite 310
Lancaster, PA 17601-2644
Phone (717) 544-5945

555 N Duke St
Lancaster, PA 17602-2250

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Lancaster General Hospital CurrentSince Sep 30, 2014 Accepting new patients
Atlantic Physician Services of Maryland, PC CurrentSince Jun 1, 2011 Accepting new patients
Lancaster General Hospital CurrentSince May 1, 2012 Accepting new patients
Lancaster General Medical Group CurrentSince Jan 18, 2016 Accepting new patients
Lancaster General Hospital CurrentSince May 1, 2012 Accepting new patients
Lancaster General Health - Columbia Center CurrentSince Mar 14, 2011 Accepting new patients
Lancaster General Medical Group CurrentSince Jan 18, 2016 Accepting new patients
Lancaster General Medical Group Past Accepting new patients

Locations

426 Cloverleaf Rd
Elizabethtown, PA 17022
Phone (717) 299-1301

2104 Harrisburg Pike
Ste 200
Lancaster, PA 17601
Phone (717) 290-3626

3045 Marietta Ave
Lancaster, PA 17601
Phone (717) 299-4644

540 N Duke St
Ste 110
Lancaster, PA 17602
Phone (717) 290-4995

554 N Duke St
Lancaster, PA 17602
Phone (717) 291-5863

555 N Duke St
Lancaster, PA 17602
Phone (717) 544-5945

555 N Duke St
Fl 3
Lancaster, PA 17602
Phone (717) 544-5945

2500 Bernville Rd
Reading, PA 19605
Phone (610) 378-2300

6415 Lincoln Hwy
Wrightsville, PA 17368
Phone (717) 252-1200

Interoperability endpoints

  • Direct secure messaging: kbonnevillepac26874@direct-lghealth.org

Organizations & group practices 12

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1298851200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1554163200000",
    "number": "1245537265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "555 N DUKE ST FL 3",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176022250",
            "telephone_number": "717-544-5945",
            "fax_number": "717-544-5944"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 N DUKE ST",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176022250",
            "telephone_number": "717-544-5945",
            "fax_number": "717-544-5944"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BONNEVILLE",
        "first_name": "KELLY",
        "middle_name": "FIELD",
        "name_prefix": "Ms.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-02-28",
        "last_updated": "2019-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "PA",
            "license": "MA054788",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KELLY",
            "last_name": "FIELD",
            "middle_name": "NICOLE",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Lancaster, PA

Sources for this page

Verify at the official NPI Registry.