Individual provider Active NPI

Danielle Bonnett, PA-C

  • Physician Assistant
  • Milwaukee, WI
National Provider Identifier
1487082772
Registry record updated Nov 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
3229 Issued in WI
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

Updated by the provider on Nov 24, 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 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

TypeEndpointUseAffiliation
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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
Aurora Medical Group, Inc.Group PAC ID 6709794258, 3,764 clinicians

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 Hospital, Milwaukee, WI, CCN 520138

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
3229WIMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Aurora Medical Group, Inc. CurrentSince Jun 25, 2018 Accepting new patients
Aurora Medical Group, Inc. CurrentSince Jun 25, 2018 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

  • Direct secure messaging: 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.

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": "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

Verify at the official NPI Registry.