Individual provider Active NPI

Bonnie Lou Kilpela, P.A.

  • Physician Assistant
  • Munising, MI
National Provider Identifier
1326022286
Registry record updated Sep 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
5601002221 Issued in MI
Practice address
1500 Sandpoint Rd
Munising, MI 49862-1406
Phone
(906) 387-4110
NPI assigned
Dec 5, 2005
Last updated
Sep 29, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 5601002221 MI Primary

Addresses

Primary practice location

1500 Sandpoint Rd
Munising, MI 49862-1406

Mailing address

1600 County Road 492
Marquette, MI 49855-9634

Other identifiers 1

IdentifierTypeStateIssuer
56010022221OtherMIMICHIGAN LICENSE #

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI, FL2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20060111001098 MI Practitioner - Physician Assistant 4981627361 Reassigns benefits to 7 organizations
I20200824002798 FL Practitioner - Physician Assistant 4981627361 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ies Florida PLLCGroup PAC ID 8921485004, 45 clinicians

Practice addresses (Care Compare)

1500 Sandpoint Rd
Munising, MI 49862-1406
Phone (906) 387-4110

2500 Harbor Blvd
Port Charlotte, FL 33952-5000
Phone (941) 766-4122

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5601002221MIMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Ies Florida PLLC CurrentSince Jan 1, 2026 Accepting new patients
DLP Marquette Physician Practices Inc CurrentSince Sep 1, 2012 Accepting new patients
Aspirus Iron River Hospital & Clinics, Inc. CurrentSince Mar 1, 2026 Accepting new patients
Northern Michigan Emergency Physicians, LLP Physician Assistant CurrentSince Jun 19, 2018 Accepting new patients
DLP Marquette Physician Practices Inc Physician Assistant CurrentSince Sep 1, 2012 Accepting new patients
Aspirus Iron River Hospital & Clinics, Inc. CurrentSince Mar 1, 2026 Accepting new patients
Aspirus Ironwood Hospital & Clinics, Inc. CurrentSince Nov 1, 2023 Accepting new patients
Munising Memorial Hospital Association CurrentSince Sep 1, 2017 Accepting new patients
Aspirus Ironwood Hospital & Clinics Inc CurrentSince Nov 1, 2023 Accepting new patients
Northern Michigan Emergenc Physicians, LLP Physician Assistant CurrentSince Jun 19, 2018 Accepting new patients
Northcoast Radiology Associates, PC Past Accepting new patients
Marquette General Hospital, Inc. Past Accepting new patients
Marquette General Hospital, Inc. Past Accepting new patients

Locations

1500 Lee Blvd
Lehigh Acres, FL 33936
Phone (239) 368-4410

2500 Harbor Blvd
Pt Charlotte, FL 33952
Phone (941) 766-4122

540 The Rialto
Venice, FL 34285
Phone (866) 481-2553

29980 Network Pl
Chicago, IL 60673

3401 Ludington St
Escanaba, MI 49829
Phone (906) 786-3311

710 S Lincoln Rd
Ste 700
Escanaba, MI 49829
Phone (906) 786-2172

301 Explorer St
Gwinn, MI 49841
Phone (906) 346-4924

1400 W Ice Lake Rd
Iron River, MI 49935
Phone (906) 265-6121

N10561 Grandview Ln
Ironwood, MI 49938
Phone (906) 932-1500

N10565 Grandview Ln
Ironwood, MI 49938
Phone (906) 932-1500

107 W Main St
Ste 2
Marquette, MI 49855
Phone (906) 662-4070

1414 W Fair Ave
Ste 334
Marquette, MI 49855
Phone (906) 225-3870

1414 W Fair Ave
Ste 36
Marquette, MI 49855
Phone (906) 225-3864

580 W College Ave
Marquette, MI 49855
Phone (906) 225-3131

1500 Sandpoint Rd
Munising, MI 49862
Phone (906) 387-4110

Organizations & group practices 17

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.

View all 17

Hospital & facility affiliations 2

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": "1133740800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632873600000",
    "number": "1326022286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 COUNTY ROAD 492",
            "city": "MARQUETTE",
            "state": "MI",
            "postal_code": "498559634"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 SANDPOINT RD",
            "city": "MUNISING",
            "state": "MI",
            "postal_code": "498621406",
            "telephone_number": "906-387-4110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KILPELA",
        "first_name": "BONNIE",
        "middle_name": "LOU",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-05",
        "last_updated": "2021-09-29",
        "certification_date": "2021-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MI",
            "license": "5601002221",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MICHIGAN LICENSE #",
            "identifier": "56010022221",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Munising, MI

Sources for this page

Verify at the official NPI Registry.