ALICIA BONSALL CRNP
NPI 1164956587
Nurse Practitioner - Family in Lancaster, PA
About Alicia Bonsall Crnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ALICIA BONSALL CRNP (NPI 1164956587) is an individual family provider in Lancaster, Pennsylvania, licensed in Pennsylvania (SP017325) and active in the NPI registry since April 2017. She is enrolled in Medicare PECOS and maintains a secondary practice location in Thorndale.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Alicia Bonsall Crnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Alicia Bonsall reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Nashville, TN 37219
- Reassigned Medicare billing, Pennsylvania enrollment
- 77 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 17601 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Other Providers at the Same Location NPPES 19
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Alicia Bonsall's NPI number?
The NPI number for Alicia Bonsall is 1164956587. It was assigned to this individual provider in the NPPES registry on April 12, 2017.
Where is Alicia Bonsall located?
Alicia Bonsall practices at 1507 Lititz Pike, Lancaster, PA 17601. The listed phone number is (717) 397-0369.
What is Alicia Bonsall's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Alicia Bonsall enrolled in Medicare?
Yes. Alicia Bonsall is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Alicia Bonsall's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Alicia Bonsall reassigns Medicare benefits to Matrix Medical Plus (Nashville, TN). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Alicia Bonsall's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Alicia Bonsall was last updated on January 18, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Alicia Bonsall, CRNP · NPI 1164956587
Family physician in Lancaster, Pennsylvania. Individual provider, active in the CMS NPPES registry since April 12, 2017.
## Identity
- **NPI:** 1164956587 (Entity type: Individual)
- **Enumerated:** April 12, 2017
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** SP017325 (Pennsylvania)
- **Sole proprietor:** No
## Practice location
- **Address:** 1507 LITITZ PIKE, Lancaster, PA 17601-6505
- **Phone:** (717) 397-0369
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Matrix Medical Plus (NPI 1376973461, Nashville, TN), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** January 18, 2019
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Source: [NPI Profile](https://npiprofile.com/npi/1164956587) · Data from the CMS NPPES public registry.