Bonnie Wallace, PA-C
NPI 1437402229 · Physician Assistant · Portage, MI
Bonnie Wallace, PA-C is a Physician Assistant provider in Portage, MI (NPI 1437402229).
Provider details
- NPI number
- 1437402229
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- No
- License
- 5601006513 (MI)
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 tenure38% of score
13 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
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.
Practice location
Mailing address
Registry dates
- Enumerated
- 2012-10-18
- Last updated
- 2014-10-12
Frequently asked questions
- What is Bonnie Wallace's NPI number?
- Bonnie Wallace's National Provider Identifier (NPI) is 1437402229, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Bonnie Wallace's specialty?
- Bonnie Wallace is listed in the NPPES registry with a primary specialty of Physician Assistant (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Bonnie Wallace located?
- Bonnie Wallace's practice location on file with NPPES is 3304 Cooley Ct, Portage, MI 49024-7430.
- What is Bonnie Wallace's phone number?
- The practice phone number listed in the NPPES registry for Bonnie Wallace is (269) 349-2266.
- Is Bonnie Wallace's NPI active?
- Yes — Bonnie Wallace's NPI (1437402229) is active in the NPPES registry as of the last update on 2014-10-12.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.