1. Home
  2. Directory
  3. NPI Profile

LYDIA M BONNER NP
NPI 1386250710
Nurse Practitioner - Family in Repton, AL

Active since September 21, 2020PECOS Enrolled
1328 OLD STAGE RD, REPTON, AL 36475(251) 593-1227(833) 760-3746 Get Directions Write a Review

NPPES record last updated: December 4, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Dec 4, 2025, Sep 21, 2020 (2 updates tracked since 2020).

About Lydia M Bonner Np NPPES

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

LYDIA M BONNER NP (NPI 1386250710) is an individual family provider in Repton, Alabama, licensed in Alabama (115121) and active in the NPI registry since September 2020. She is enrolled in Medicare PECOS and maintains a secondary practice location in Andalusia.

NPPES Registry Identity

NPI1386250710
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameLYDIA M BONNERCredential: NP
Location Address1328 OLD STAGE RDRepton, AL 36475-9433
Mailing Address1328 Old Stage RdRepton, AL 36475-9433 · (251) 593-1227 · Fax (833) 760-3746
Phone(251) 593-1227
Fax(833) 760-3746
Sole ProprietorNo
Enumeration DateSeptember 21, 2020
Last NPPES UpdateDecember 4, 20252 updates tracked since enumeration
NPPES CertifiedDecember 4, 2025
✔ NPI 1386250710 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in AL · 115121
Also ListedClinic/CenterTaxonomy 261Q00000X
1328 OLD STAGE RD, Repton, AL 36475
Open in Google Maps ↗

Secondary Practice Location 1

Location 1849 S Three Notch StAndalusia, AL 36420-5399 · Phone (334) 222-8466

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Alabama.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Lydia M Bonner Np is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Reassignments

2

Medicare enrollment records show Lydia Bonner reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Gulf Coast Health & Wellness, LLC
9.7 mi
Family Medicine
16 MEDICAL CENTER DR
Monroeville, AL 36460
  • Reassigned Medicare billing, Alabama enrollment
  • 4 clinicians in this Medicare group
NPI 1588402341 (251) 575-1999
Ies Alabama PLLC
68 mi
Emergency Medicine
1613 N MCKENZIE ST
Foley, AL 36535
  • Reassigned Medicare billing, Alabama enrollment
  • 110 clinicians in this Medicare group
NPI 1053027276 (251) 949-3540

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 36475 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.

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 Lydia Bonner's NPI number?

The NPI number for Lydia Bonner is 1386250710. It was assigned to this individual provider in the NPPES registry on September 21, 2020.

Where is Lydia Bonner located?

Lydia Bonner practices at 1328 Old Stage Rd, Repton, AL 36475. The listed phone number is (251) 593-1227.

What is Lydia Bonner's specialty?

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

Is Lydia Bonner enrolled in Medicare?

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

Which organizations bill Medicare for Lydia Bonner's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Lydia Bonner reassigns Medicare benefits to 2 organizations: Gulf Coast Health & Wellness, LLC (Monroeville, AL) and Ies Alabama PLLC (Foley, AL). Each 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 Lydia Bonner's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Lydia Bonner accept?

Health plans from Blue Cross and Blue Shield of Alabama list Lydia Bonner as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Lydia Bonner was last updated on December 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.