Bonnie Merritt Wallace, PA-C
- Part D claims, 2024
- 14
- Affiliated sites
- 1
- Medical group
- 1
- State license
- 1
- Year NPI issued
- 2012
- Practice address
- 3304 Cooley Ct, Portage, MI 49024-7430
- Practice phone
- Call (269) 349-2266
- Professional email
- Get professional email
- Personal email
- Get personal email
- Mobile number
- Get mobile number
Primary practice
Lifelinc Anesthesia IV
NP / PA-led clinic · Portage, Michigan
Find Bonnie Wallace's professional email, personal email and mobile number
Dmand AI checks each channel through healthcare-specific waterfall enrichment. See what is on file with a free account, with practice phones, licenses and affiliations.
Bonnie Merritt Wallace is a physician assistant in Portage, Michigan
Bonnie Wallace practices at Lifelinc Anesthesia IV in Portage, Michigan.
Bonnie Wallace's NPI, 1437402229, was assigned on October 18, 2012. Bonnie Wallace holds Michigan license 5601006513.
- NPI
- 1437402229NPI Registry (opens in a new tab)
- NPI enumeration date
- October 18, 2012
- NPI status
- Active
- Practice phone
- (269) 349-2266
- Professional email
- Get email
- Personal email
- Get email
- Mobile number
- Get number
- Sex
- Female
- Estimated age
- 40
- Medical school graduation
- 2012
Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; Dmand AI Affiliation Data; and Doctors and Clinicians National Downloadable File (CMS)
Bonnie Merritt Wallace practices at Lifelinc Anesthesia IV in Portage, Michigan
Bonnie Wallace's primary practice is Lifelinc Anesthesia IV, at 3304 Cooley Ct, Portage, MI 49024-7430. The practice phone is (269) 349-2266.
- Lifelinc Anesthesia IV3304 Cooley Ct, Portage, MI 49024-7430Phone(269) 349-2266
Sources: Dmand AI Affiliation Data; and Doctors and Clinicians National Downloadable File (CMS)
Bonnie Merritt Wallace is affiliated with 1 site of care and 1 medical group
Bonnie Wallace's primary practice is Lifelinc Anesthesia IV in Portage, Michigan. Dmand AI also links Bonnie Wallace to 1 medical group, named with a free account.
Sources: Dmand AI Affiliation Data; and Doctors and Clinicians National Downloadable File (CMS)
Dmand AI tracks the EHR system at Bonnie Merritt Wallace's practice
Dmand AI tracks the electronic health record (EHR) system at each site where Bonnie Wallace practices. Vendor and product names are available with a free account.
| Site | EHR vendor and product |
|---|---|
| Lifelinc Anesthesia IV | Available with a free account |
| +1 medical group | Available with a free account |
Source: Dmand AI Technology Install Data
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Bonnie Merritt Wallace is one of 5,857 physician assistants in Michigan
Physician assistant is Bonnie Wallace's primary specialty in the NPI Registry, under taxonomy code 363A00000X. Bonnie Wallace is licensed in Michigan.
Specialties and state licenses
- Physician assistant, MichiganPrimary
Physician assistants near Bonnie Wallace
Counts of physician assistants with a Dmand AI profile, by place and practice. Each opens the list.
Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; and Dmand AI Peer Benchmarks
Bonnie Merritt Wallace's patients have a median age of 24
Across all payers, Dmand AI patient panel data puts Bonnie Wallace's median patient age at 24, with 100% women.
Bonnie Wallace's patients across all payers
Dmand AI patient panel data covers Medicare, Medicaid and commercial patients.
Patient panel by age, all payers
Median age 24
Patient panel by sex, all payers
- Women100%
- Men0%
Source: Dmand AI Patient Panel Data
Bonnie Merritt Wallace wrote 14 Medicare Part D claims in 2024
In 2024, Bonnie Wallace wrote 14 Medicare Part D claims. 100% of them were for generic drugs.
Source: Medicare Part D Prescribers - by Provider (CMS), 2024 data
For MedTech and pharma teams
Filter 7.4M+ HCPs by Medicare procedures, Part D drugs and Open Payments history, then reach them with verified contacts in one login.
Sources for Bonnie Merritt Wallace's profile data
| Data on this page | Source |
|---|---|
| NPI, name, sex, specialty and licenses | NPPES NPI Registry (CMS) (opens in a new tab)Dmand AI Professional Profile Data |
| Practice locations and phone | Dmand AI Affiliation DataDoctors and Clinicians National Downloadable File (CMS) (opens in a new tab) |
| Primary practice, affiliations and health system | Dmand AI Affiliation DataDoctors and Clinicians National Downloadable File (CMS) (opens in a new tab) |
| Medicare patients and the all-payer patient panel | Dmand AI Patient Panel Data |
| Part D prescribing | Medicare Part D Prescribers - by Provider (CMS) (opens in a new tab) |
| EHR at each practice site | Dmand AI Technology Install Data |
| Similar physicians | Dmand AI Affiliation Data |
Data last refreshed October 2026Report an inaccuracyRemove my information
FAQ
Frequently asked questions about Bonnie Merritt Wallace
Spotted something out of date? Email hello@dmand.ai and we will check the record. Contact details live in the free trial.
What is Bonnie Merritt Wallace's NPI number?
Bonnie Merritt Wallace's NPI number is 1437402229. It was assigned on October 18, 2012, and it is active in the NPI Registry.
What does Bonnie Merritt Wallace specialize in?
Bonnie Merritt Wallace is a physician assistant in Portage, Michigan. The primary specialty in the NPI Registry is Physician Assistant (taxonomy code 363A00000X).
Where does Bonnie Merritt Wallace practice?
Bonnie Wallace practices at 3304 Cooley Ct, Portage, MI 49024-7430. Bonnie Wallace's primary practice is Lifelinc Anesthesia IV in Portage, Michigan. Dmand AI also links Bonnie Wallace to 1 medical group.
What is Bonnie Merritt Wallace's office phone number?
The practice phone on file for Bonnie Wallace is (269) 349-2266.
What is Bonnie Merritt Wallace's medical license number?
Bonnie Wallace holds Michigan license 5601006513.
How long has Bonnie Merritt Wallace been practicing?
Bonnie Wallace graduated from medical school in 2012, 14 years ago.
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