Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

BONNIE DIANE PICKETT NP
NPI 1205608882
Nurse Practitioner - Family in Irvington, AL

Q: What is Bonnie Pickett's NPI number?

The NPI number for Bonnie Pickett is 1205608882. It was assigned to this individual provider in the NPPES registry on October 26, 2023.

Q: What is Bonnie Pickett's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Bonnie Pickett was last updated on August 18, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 days 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.

Active since October 26, 2023PECOS Enrolled

12701 PADGETT SWITCH RD, IRVINGTON, AL 36544(251) 824-2174(251) 824-2286 Get Directions Write a Review

NPPES record last updated: August 18, 2026. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Aug 18, 2026, Apr 23, 2026, Feb 5, 2025 and 1 more (4 updates tracked since 2023).

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About Bonnie Diane Pickett Np NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BONNIE DIANE PICKETT NP (NPI 1205608882) is an individual family provider in Irvington, Alabama, licensed in Alabama (1-158008) and active in the NPI registry since October 2023. She is enrolled in Medicare PECOS and is a graduate of University Of South Alabama College Of Medicine (2023).

NPPES Registry Identity

NPI1205608882

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameBONNIE DIANE PICKETTCredential: NP

Location Address12701 PADGETT SWITCH RDIrvington, AL 36544-4011

Mailing Address12701 Padgett Switch RdIrvington, AL 36544-4011 · (251) 214-6119

Phone(251) 824-2174

Fax(251) 824-2286

Sole ProprietorNo

Medical School CMSUniversity Of South Alabama College Of MedicineGraduated 2023

Enumeration DateOctober 26, 2023

Last NPPES UpdateAugust 18, 20264 updates tracked since enumeration

NPPES CertifiedAugust 18, 2026

✔ NPI 1205608882 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in AL · 1-158008

12701 PADGETT SWITCH RD, Irvington, AL 36544

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Other Identifiers 2

Other513-27535AL · Bcbs

Medicaid345214AL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Bonnie Diane Pickett Np is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4587002852

PECOS Enrollment IDI20250207002852

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 36544 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$81.90 typical visit price

range $52.65 – $161.63

Typical copayment $20.47 (range $13.16 – $40.40)

Most-billed visit code 99203

Established Patient

$93.72 typical visit price

range $16.56 – $131.65

Typical copayment $23.43 (range $4.14 – $32.91)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. CARLA ANN BAXLEY CRNP

Nurse Practitioner (Family)