Bonnie Wickham, PA
NPI 1225058902 · Physician Assistant · Bend, OR
Enrolled with Medicare as Practitioner - Physician Assistant · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Bonnie Wickham, PA is a Physician Assistant provider in Bend, OR (NPI 1225058902).
Provider details
- NPI number
- 1225058902
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA
- Sex
- Female
- Sole proprietor
- No
- License
- PA04799 (TX)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
20 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
3 documented practice locations
- Medicare service volume (vs. specialty peers)28% of score
19 Medicare services, 2024 (ranked within specialty)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 19 | $80 |
Typical Medicare-allowed amounts for these services range $80–$80 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, not a price quote and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.
Practice location
Mailing address
Additional practice locations (2)
- 12039 E Maple Springs WayPalmer, AK 99645-9797Phone: (907) 745-9088
- 402 W 26th StSan Angelo, TX 76903-2826Phone: (325) 658-1511Fax: (325) 481-2166
Registry dates
- Enumerated
- 2006-07-19
- Last updated
- 2026-06-04
- Certified
- 2026-06-04
Frequently asked questions
- What is Bonnie Wickham's NPI number?
- Bonnie Wickham's National Provider Identifier (NPI) is 1225058902, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Bonnie Wickham's specialty?
- Bonnie Wickham is listed in the NPPES registry with a primary specialty of Physician Assistant (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Bonnie Wickham located?
- Bonnie Wickham's practice location on file with NPPES is 61250 Se Coombs Pl, Bend, OR 97702-3704.
- What is Bonnie Wickham's phone number?
- The practice phone number listed in the NPPES registry for Bonnie Wickham is (541) 706-5930.
- Does Bonnie Wickham accept Medicare?
- Bonnie Wickham is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Bonnie Wickham's NPI active?
- Yes — Bonnie Wickham's NPI (1225058902) is active in the NPPES registry as of the last update on 2026-06-04.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.