Individual provider Active NPI

Bonnie J Giacchetti, PAC

  • Medical Physician Assistant
  • Santa Fe, NM
National Provider Identifier
1871673608
Registry record updated Feb 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
2000-PA15 Issued in NM
Practice address
2019 Galisteo St Ste N9A
Santa Fe, NM 87505-2111
Phone
(505) 820-1482
Fax
(505) 982-0696
NPI assigned
Oct 16, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 2000-PA15 NM Primary

Addresses

Primary practice location

2019 Galisteo St Ste N9A
Santa Fe, NM 87505-2111

Mailing address

2019 Galisteo St Ste N9A
Santa Fe, NM 87505-2111
Phone (505) 820-1482

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM
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
I20101110000528 NM Practitioner - Physician Assistant 8921293432 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Full Circle Healing Family Practice, LLCGroup PAC ID 7618913435, 5 clinicians

Practice addresses (Care Compare)

2019 Galisteo St
Suite N9A
Santa Fe, NM 87505-2111
Phone (505) 820-1482

Hospital & facility affiliations

  • Christus St Vincent Regional Medical Center Hospital, Santa Fe, NM, CCN 320002

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Patrick Okeefe Chiropractic Inc CurrentSince May 1, 2023 Accepting new patients

Locations

1421 Luisa St
Ste A
Santa Fe, NM 87505
Phone (505) 820-1482

Interoperability endpoints

  • Direct secure messaging: bonnie.giacchetti.1@30754.direct.athenahealth.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 and National Provider Directory roles.

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": "1160956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707177600000",
    "number": "1871673608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2019 GALISTEO ST STE N9A",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875052111",
            "telephone_number": "505-820-1482",
            "fax_number": "505-982-0696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2019 GALISTEO ST STE N9A",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875052111",
            "telephone_number": "505-820-1482",
            "fax_number": "505-982-0696"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIACCHETTI",
        "first_name": "BONNIE",
        "middle_name": "J",
        "credential": "PAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-16",
        "last_updated": "2024-02-06",
        "certification_date": "2024-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NM",
            "license": "2000-PA15",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Fe, NM

Sources for this page

Verify at the official NPI Registry.