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ALICE BONNER RN, MS, AGPCNP-BC
NPI 1265774517
Nurse Practitioner - Adult Health in New York, NY

Active since March 25, 2013PECOS Enrolled
2875 BROADWAY FL 2, NEW YORK, NY 10025(212) 523-1600(212) 824-2311 Get Directions Write a Review

NPPES record last updated: March 26, 2026. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Alice Bonner Rn, Ms, Agpcnp-bc NPPES

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

ALICE BONNER RN, MS, AGPCNP-BC (NPI 1265774517) is an individual adult health provider in New York, New York, licensed in New York (F306802) and active in the NPI registry since March 2013. She is enrolled in Medicare PECOS and is a graduate of Other (2014).

NPPES Registry Identity

NPI1265774517
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameALICE BONNERCredential: RN, MS, AGPCNP-BC
Location Address2875 BROADWAY FL 2New York, NY 10025-7846
Mailing Address2875 Broadway Fl 2New York, NY 10025-7846 · (212) 253-1600
Phone(212) 523-1600
Fax(212) 824-2311
Sole ProprietorYes
Medical School CMSOtherGraduated 2014
Enumeration DateMarch 25, 2013
Last NPPES UpdateMarch 26, 2026
NPPES CertifiedMarch 26, 2026
✔ NPI 1265774517 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License✔ Licensed in NY · F306802
Also ListedRegistered NurseTaxonomy 163W00000X · License 657599 (NY)
2875 BROADWAY FL 2, New York, NY 10025
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Alice Bonner Rn, Ms, Agpcnp-bc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6901106095
PECOS Enrollment IDI20250926000768
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.

Medicare Billing Reassignment

Medicare enrollment records show Alice Bonner reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Icahn School Of Medicine At Mount Sinai
5.0 mi
Internal Medicine
222 WEST 14TH STREET
New York, NY 10011
  • Reassigned Medicare billing, New York enrollment
  • 309 clinicians in this Medicare group
NPI 1568841930 (212) 604-1800

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 10025 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
$102.04 typical visit price
range $65.69 – $198.19
Typical copayment $25.51 (range $16.42 – $49.54)
Most-billed visit code 99203
Established Patient
$114.88 typical visit price
range $21.20 – $160.66
Typical copayment $28.72 (range $5.30 – $40.16)
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 5

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

ISHAN SAHU MD
Family Medicine
2875 BROADWAY FL 2
NEW YORK, NY 10025
New York County (212) 523-1600
DR. MICHAEL TEDDY RUTKOWSKI DPM
Podiatrist (Foot & Ankle Surgery)
2875 BROADWAY FL 2
NEW YORK, NY 10025
New York County (212) 523-1600
STEPHANIE CHARLES
Family Medicine
2875 BROADWAY FL 2
NEW YORK, NY 10025
New York County (212) 523-1600
NEELIMA PANTH
Otolaryngology
2875 BROADWAY FL 2
NEW YORK, NY 10025
New York County (203) 688-8424
SEAN SCHOWALTER MD
Physical Medicine & Rehabilitation (Sports Medicine)
2875 BROADWAY FL 2
NEW YORK, NY 10025
New York County (212) 523-1600

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 Alice Bonner's NPI number?

The NPI number for Alice Bonner is 1265774517. It was assigned to this individual provider in the NPPES registry on March 25, 2013.

Where is Alice Bonner located?

Alice Bonner practices at 2875 Broadway Fl 2, New York, NY 10025. The listed phone number is (212) 523-1600.

What is Alice Bonner's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is Alice Bonner enrolled in Medicare?

Yes. Alice Bonner is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Alice Bonner's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Alice Bonner reassigns Medicare benefits to Icahn School Of Medicine At Mount Sinai (New York, NY). 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 Alice Bonner'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 Alice Bonner was last updated on March 26, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months 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.