LISA CAMILLE BONIN (PA-C) – Physician Assistant, NPI 1235177601

LISA CAMILLE BONIN (PA-C) is a healthcare provider. based in Fort myers, Florida. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. PA9114636 (FL). The NPI Number for LISA CAMILLE BONIN (PA-C) is 1235177601

Main info

Female
Sole Proprietor
27 Years Of Experience
Accepts Medicare Assignment
Name
LISA CAMILLE BONIN (PA-C)
NPI
1235177601
Phone
(877) 856-3774
Address
2675 WINKLER AVE FL 2
Enumeration Date
4 June 2006
Last Update Date
23 May 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
1999 (27 years ago)
PAC ID
9133181977
Group Practice PAC ID
9830244433
Professional Enrollment ID
I20220211000062
Address ID
FL339019328FO2675XAVEX300
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness75
Years active:20State licenses:1Digital endpointsOther names

9,231 PHYSICIAN ASSISTANT in FL

Provider Addresses for LISA CAMILLE BONIN (PA-C)

  • 2675 WINKLER AVE FL 2

    FORT MYERS, FL 339019342

    Phone: (877) 856-3774

    Type: Mailing

  • 1700 E VENICE AVE

    VENICE, FL 342923190

    Phone: (941) 483-9760

    Fax: (941) 483-9775

    Type: Location

  • 1287 US HIGHWAY 41 BYP S

    VENICE, FL 342855545

    Phone: (856) 686-4300

    Type: Mailing

  • 307, South Evergreen Avenue, Woodbury, Gloucester County, New Jersey, 08096, United States

    WOODBURY, NJ 080962739

    Phone: (856) 686-4300

    Type: Mailing

  • Riverview Medical Center, 1, Riverview Plaza, Red Bank, Monmouth County, New Jersey, 07701, United States

    RED BANK, NJ 077011864

    Phone: (732) 530-2204

    Fax: (732) 224-7498

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 23 Open Payments records for all available years, with a total value of $421.

Total Amount is formed as General ($421) + Research ($0) + Ownership ($0) = $421.

Last reported payment date: 2024-07-29 • Largest payer in this snapshot: ABBVIE INC. ($98).

Total Amount

$421

General + Research + Ownership

Payments

23

Total payment records

General Amount

$421

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-07-29

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2022-02-11

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20220211000062IPhysician AssistantFLTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99213Established patient office or other outpatient visit, 20-29 minutes670602$0
99214Established patient office or other outpatient visit, 30-39 minutes547511$0
87804Detection test by immunoassay with direct visual observation for influenza virus352172$0
87426Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus220215$0
81003Automated urinalysis test213181$0
View full utilization report →

Insurance plans in this area (ZIP 33901)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9830244433View full group profile
NameSpecialtyState
Family PracticeFL
Nurse PractitionerFL
Family PracticeFL
-FL
-FL
-FL
-FL
Nurse PractitionerFL
-FL
Cardiovascular Disease (Cardiology), Internal MedicineFL

Reviews

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Frequently asked questions

Is LISA CAMILLE BONIN (PA-C) listed with a National Provider Identifier?
Yes — LISA CAMILLE BONIN (PA-C) has NPI 1235177601 on file in the registry.
Active or inactive — what applies to LISA CAMILLE BONIN (PA-C)?
You should see LISA CAMILLE BONIN (PA-C) as active in CMS-hosted NPPES data.
What kind of doctor is LISA CAMILLE BONIN (PA-C)?
LISA CAMILLE BONIN (PA-C) is associated with Physician Assistant in the directory — Clinical services aligned with this taxonomy classification.
Where in Florida is LISA CAMILLE BONIN (PA-C) registered?
Use Fort Myers, Florida as the headline location for LISA CAMILLE BONIN (PA-C) here.
Can I trust this NPI listing for LISA CAMILLE BONIN (PA-C)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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