AUTUMN M BONDESEN (PA) – Medical Physician Assistant, NPI 1063749414
Medical Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
385 PHYSICIAN ASSISTANT in VT
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Provider Addresses for AUTUMN M BONDESEN (PA)
6 OUELLET DRIVE
ST ALBANS, VT 05478
Phone: (802) 578-4979
Fax: (802) 255-5589
Type: Mailing
44, Main Street, Richford, Franklin County, Vermont, 05476, United States
SUITE 200
RICHFORD, VT 054761153
Phone: (802) 255-5500
Fax: (802) 255-5589
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
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: 2009-12-17
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20091217000127 | I | Physician Assistant | VT | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 83036 | Hemoglobin a1c level | 88 | 61 | $0 |
| 36415 | Insertion of needle into vein for collection of blood sample | 84 | 71 | $0 |
| 81003 | Automated urinalysis test | 38 | 33 | $0 |
| G0180 | Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and | 23 | 19 | $0 |
| 90480 | Admn sarscov2 vacc 1 dose | 13 | 13 | $0 |
Insurance plans in this area (ZIP 05478)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | VT | |
| Physician Assistant | VT | |
| Physician Assistant | VT | |
| - | VT | |
| Physician Assistant | VT | |
| Nurse Practitioner | VT | |
| Physician Assistant | VT | |
| Nurse Practitioner | VT | |
| Nurse Practitioner | VT | |
| - | QUEBEC |
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