ELIZABETH BONSON (M.D.) – Occupational Medicine Physician, NPI 1124252820
Occupational Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
52 PREVENTIVE MEDICINE in MN
Provider Addresses for ELIZABETH BONSON (M.D.)
PO BOX 50095
SEATTLE, WA 981455095
Phone: (206) 543-6420
Type: Mailing
205 WABASHA ST S
SAINT PAUL, MN 551071805
Phone: (651) 293-8100
Type: Location
1665 Utica Ave S Ste 100
St Louis Park, MN 554163476
Phone: (952) 541-2500
Type: Location
411 Stageline Rd Ste 200
Hudson, WI 540167848
Phone: (715) 531-6700
Type: Location
325 9th Ave
Seattle, WA 981042420
Phone: (206) 744-3059
Type: Location
1500 Curve Crest Blvd W
Stillwater, MN 550826040
Phone: (651) 439-1234
Type: Location
2001 Blaisdell Ave
Minneapolis, MN 554042414
Phone: (952) 993-8000
Type: Location
Harborview Medical Center, 325, 9th Avenue, Little Saigon, First Hill, Seattle, King County, Washington, 98104, United States
SEATTLE, WA 981042420
Phone: (206) 744-3059
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: 2025-07-21
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20250721000089 | I | Preventive Medicine | MN | TBD |
| I20250721000201 | I | Preventive Medicine | WI | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 98145)
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