Active NPI
Danielle Bonnett, PA-C
- Physician Assistant
- Milwaukee, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 3229
- Practice address
- 2801 W Kinnickinnic River Pkwy Ste 575
Milwaukee, WI 53215-5200 - Phone
- (414) 385-2330
- Fax
- (414) 385-2481
- NPI assigned
- Oct 23, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 3229 | WI | Primary |
Addresses
Primary practice location
2801 W Kinnickinnic River Pkwy Ste 575
Milwaukee, WI 53215-5200
Mailing address
2801 W Kinnickinnic River Pkwy Ste 575
Milwaukee, WI 53215-5200
Phone (414) 385-2330
Other practice location 1
9000 W Wisconsin Ave
Pediatric Cardiothoracic/Vascular Surgery
Milwaukee, WI 53226-4874
Phone (414) 266-2070
Other practice location 2
9000 W Wisconsin Ave
Pediatric Cardiothoracic/Vascular Surgery
Milwaukee, WI 53226-4874
Phone (414) 266-2070
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | dsemerda88578@direct.myadvocateaurora.org | Direct | |
| FHIR URL | https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20131121000098 | WI | Practitioner - Physician Assistant | 5092941047 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1020 N 12TH St
Milwaukee, WI 53233-1308
Phone (414) 219-3056
2424 S 90TH St
West Allis, WI 53227-2455
Phone (414) 328-8630
2801 W Kinnickinnic River Pkwy
Milwaukee, WI 53215-3669
Phone (414) 385-8600
2900 W Oklahoma Ave
Milwaukee, WI 53215-4330
Phone (414) 646-5410
8901 W Lincoln Ave
West Allis, WI 53227-2409
Phone (414) 329-5930
Hospital & facility affiliations
- Aurora St Lukes Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3229 | WI | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Aurora Medical Group, Inc. | Current | Accepting new patients | |
| Aurora Medical Group, Inc. | Current | Accepting new patients | |
| Aurora Medical Group, Inc. | Past | Accepting new patients |
Locations
2901 W Kinnickinnic River Pkwy
Ste 316
Milwaukee, WI 53215
Phone (414) 385-2601
2801 W Kinnickinnic River Pkwy
Ste 575
Milwaukee, WI 53215
Phone (414) 643-8800
3301 W Forest Home Ave
Milwaukee, WI 53215
Phone (414) 389-2233
1020 N 12th St
Milwaukee, WI 53233
Phone (414) 219-3056
9000 W Wisconsin Ave
Wauwatosa, WI 53226
Phone (414) 266-2625
2424 S 90th St
Ste 300
West Allis, WI 53227
Phone (414) 328-8150
Interoperability endpoints
- dsemerda88578@direct.myadvocateaurora.org
Organizations & group practices 4
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.
-
- Durable Medical Equipment & Medical Supplies
- Oshkosh, WI
- NPI 1326858044
-
- Durable Medical Equipment & Medical Supplies
- Manitowoc, WI
- NPI 1801941075
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Cudahy, WI
- NPI 1235355983
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1382486400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1637712000000",
"number": "1487082772",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2801 W KINNICKINNIC RIVER PKWY STE 575",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532155200",
"telephone_number": "414-385-2330",
"fax_number": "414-385-2481"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2801 W KINNICKINNIC RIVER PKWY STE 575",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532155200",
"telephone_number": "414-385-2330",
"fax_number": "414-385-2481"
}
],
"practiceLocations": [
{
"address_1": "9000 W Wisconsin Ave",
"address_2": "Pediatric Cardiothoracic/Vascular Surgery",
"address_purpose": "LOCATION",
"city": "Milwaukee",
"state": "WI",
"postal_code": "532264874",
"country_code": "US",
"telephone_number": "414-266-2070",
"fax_number": "414-266-2075",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "9000 W Wisconsin Ave",
"address_2": "Pediatric Cardiothoracic/Vascular Surgery",
"address_purpose": "LOCATION",
"city": "Milwaukee",
"state": "WI",
"postal_code": "532264874",
"country_code": "US",
"telephone_number": "414-266-2070",
"fax_number": "414-266-2075",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BONNETT",
"first_name": "DANIELLE",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-10-23",
"last_updated": "2021-11-24",
"certification_date": "2021-11-24",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "WI",
"license": "3229",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "dsemerda88578@direct.myadvocateaurora.org",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "2801 W Kinnickinnic River Pkwy Ste 575",
"city": "Milwaukee",
"state": "WI",
"country_code": "US",
"postal_code": "532155200",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "FHIR",
"endpointTypeDescription": "FHIR URL",
"endpoint": "https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/",
"affiliation": "N",
"address_1": "2801 W Kinnickinnic River Pkwy Ste 575",
"city": "Milwaukee",
"state": "WI",
"country_code": "US",
"postal_code": "532155200",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Milwaukee, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2021; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.