Bonnie Schwall, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

9113551 Issued in FL

Practice address

1980 SE Ocean Blvd
Stuart, FL 34996-3302

Phone

(772) 678-7043

NPI assigned

Apr 2, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

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 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Networks

• Optimum HealthCare HMO Network
• Freedom Health HMO Network

Interoperability endpoints

• Direct secure messaging: bonnie.schwall.1@32578.direct.athenahealth.com

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

• David B Hevert MD LLC

  • Internal Medicine Physician
  • Boca Raton, FL
  • NPI 1457437030
  Medicare reassignment
• PCC Medical Holdings LLC

  • Internal Medicine Physician
  • Lake Worth, FL
  • NPI 1174167993
  Medicare reassignment
• The Medical Group of South Florida, Inc

  • Specialist
  • West Palm Beach, FL
  • NPI 1023454063
  NPD (past)

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

{
    "created_epoch": "1554163200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738800000000",
    "number": "1366904138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1980 SE OCEAN BLVD",
            "city": "STUART",
            "state": "FL",
            "postal_code": "349963302",
            "telephone_number": "772-678-7043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1980 SE OCEAN BLVD",
            "city": "STUART",
            "state": "FL",
            "postal_code": "349963302",
            "telephone_number": "772-678-7043"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "509 SE Riverside Dr Ste 300",
            "address_purpose": "LOCATION",
            "city": "Stuart",
            "state": "FL",
            "postal_code": "349942579",
            "country_code": "US",
            "telephone_number": "561-394-3088",
            "fax_number": "561-394-3077",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SCHWALL",
        "first_name": "BONNIE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-04-02",
        "last_updated": "2025-02-06",
        "certification_date": "2025-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "9113551",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FLORIDA STATE LICENSE",
            "identifier": "PA9113551",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Raegan Schultz, APRN
• Shannon Schultz
• Natalia E Schurr, SLP
• Lisa Gay Schutze, LMT
• Joshua Kyle Schwab, RBT
• Rachel Schwanitz
• Amy Schwartz
• Jason P Schwartz, D.C.
• Katrina J Schwier, LMT PA
• Julie Scimeca

• Physician Assistant in Stuart, FL
• Providers in Stuart, FL by specialty
• Physician Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.