Individual provider Active NPI

Bonnie Jo Steen, PA-C

  • Physician Assistant
  • Pampa, TX
National Provider Identifier
1801123872
Registry record updated Nov 1, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA06407 Issued in TX
Practice address
2931 Perryton Pkwy
Pampa, TX 79065-2823
Phone
(806) 669-1200
Fax
(806) 669-1210
NPI assigned
Nov 11, 2009
Last updated
Nov 1, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2013

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 PA06407 TX Primary

Addresses

Primary practice location

2931 Perryton Pkwy
Pampa, TX 79065-2823

Mailing address

2931 Perryton Pkwy
Pampa, TX 79065-2823
Phone (806) 669-1200

Other names 1

  • Bonnie Jo Benner Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20091202000669 TX Practitioner - Physician Assistant 2365581444 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
United Regional Physician GroupGroup PAC ID 2163417478, 106 clinicians

Practice addresses (Care Compare)

4327 Barnett Rd
Wichita Falls, TX 76310-2303
Phone (940) 764-5200

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
77.42 of 100Reported as group
Quality
66.99
Promoting interoperability
100
Improvement activities
40
Cost
57.73

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
United Regional Health Care System Inc Current Accepting new patients

Locations

4327 Barnett Rd
Wichita Falls, TX 76310
Phone (940) 761-2922

Interoperability endpoints

  • Direct secure messaging: bsteen14763@unitedregional.medalliesdirect.net
  • FHIR API: https://epicproxy.et1096.epichosted.com/FHIRProxy/api/FHIR/DSTU2/
  • FHIR API: https://epicproxy.et1096.epichosted.com/FHIRProxy/api/fhir/r4/
  • Direct secure messaging: prmc-bonniesteen@primehealthcare.direct-ci.com

Organizations & group practices 2

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 1

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": "1257897600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1383264000000",
    "number": "1801123872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2931 PERRYTON PKWY",
            "city": "PAMPA",
            "state": "TX",
            "postal_code": "790652823",
            "telephone_number": "806-669-1200",
            "fax_number": "806-669-1210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2931 PERRYTON PKWY",
            "city": "PAMPA",
            "state": "TX",
            "postal_code": "790652823",
            "telephone_number": "806-669-1200",
            "fax_number": "806-669-1210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEEN",
        "first_name": "BONNIE",
        "middle_name": "JO",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-11-11",
        "last_updated": "2013-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA06407",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BONNIE",
            "last_name": "BENNER",
            "middle_name": "JO",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Pampa, TX

Sources for this page

Verify at the official NPI Registry.