Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mackenzie Bonnewitz, PA-C

Individual provider Physician Assistant · NPI 1487438560

Mackenzie Bonnewitz, PA-C is a Physician Assistant in Broken Arrow, Oklahoma. Licensed in Oklahoma. Registered with an NPI since 2023.

Licensed in
OK
In the registry since
2023
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Practice location Address checks out

2530 N Elm Pl
Broken Arrow, OK 74012-1285
Phone: (918) 994-1402
Fax: (918) 512-4806
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X (OK)

Record details

NPI number1487438560
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedAugust 21, 2023
Last updated in NPPESJanuary 7, 2026
Certification dateJanuary 7, 2026
Mailing address2530 N Elm Pl, Broken Arrow, OK 74012-1285

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