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IMELDA AWUOR BONNER PMHNP-BC
NPI 1508140237
Nurse Practitioner - Psychiatric/Mental Health in Raleigh, NC

Active since September 29, 2011PECOS EnrolledAccepts Medicare Assignment
4320 BLAND RD, RALEIGH, NC 27609(919) 417-4322 Get Directions Write a Review

NPPES record last updated: January 28, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Imelda Awuor Bonner Pmhnp-bc NPPES

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

IMELDA AWUOR BONNER PMHNP-BC (NPI 1508140237) is an individual psychiatric/mental health provider in Raleigh, North Carolina, licensed in Texas (1028675) and active in the NPI registry since September 2011. She is enrolled in Medicare PECOS, maintains a secondary practice location in Scottsdale, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1508140237
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameIMELDA AWUOR BONNERCredential: PMHNP-BC
Location Address4320 BLAND RDRaleigh, NC 27609-6125
Mailing Address284 Executive Park Drive, Suite 100Concord, NC 28025-1894 · (704) 939-1100 · Fax (704) 939-1173
Phone(919) 417-4322
Sole ProprietorYes
Medical School CMSOtherGraduated 2020
Enumeration DateSeptember 29, 2011
Last NPPES UpdateJanuary 28, 2025
NPPES CertifiedJanuary 28, 2025
✔ NPI 1508140237 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
Licenses✔ Licensed in TX · 1028675✔ Licensed in NC · 5019103✔ Licensed in AZ · 257911
4320 BLAND RD, Raleigh, NC 27609
Open in Google Maps ↗

Secondary Practice Location 1

Location 18705 E McDowell RdScottsdale, AZ 85257-3909 · Phone (480) 882-4545 · Fax (480) 405-8929

Other Identifiers 1

Medicaid140149AZ

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC, Oscar Health Plan of North Carolina, Inc, Oscar Health Plan, Inc. 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

Imelda Awuor Bonner Pmhnp-bc 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 ID6204209604
PECOS Enrollment IDI20250117000911
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 27609 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
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$95.94 typical visit price
range $17.21 – $134.61
Typical copayment $23.98 (range $4.30 – $33.65)
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 3

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

LUCY WANJIKU MAINA-KIMATA
Nurse Practitioner (Psychiatric/Mental Health)
4320 BLAND RD
RALEIGH, NC 27609
Wake County (919) 417-4322
ACCESS 1 MEDICAL
Clinic/Center
4320 BLAND RD
RALEIGH, NC 27609
Wake County (919) 322-2858
CEDAR MOUNT BEHAVIORAL HEALTH, PA
Psychiatry & Neurology (Psychiatry)
4320 BLAND RD
RALEIGH, NC 27609
Wake County (919) 417-4322

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 Imelda Bonner's NPI number?

The NPI number for Imelda Bonner is 1508140237. It was assigned to this individual provider in the NPPES registry on September 29, 2011.

Where is Imelda Bonner located?

Imelda Bonner practices at 4320 Bland Rd, Raleigh, NC 27609. The listed phone number is (919) 417-4322.

What is Imelda Bonner's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Imelda Bonner enrolled in Medicare?

Yes. Imelda Bonner is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Imelda Bonner accept?

Health plans from Blue Cross and Blue Shield of NC, Oscar Health Plan of North Carolina, Inc, Oscar Health Plan, Inc. and UnitedHealthcare list Imelda 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 Imelda Bonner was last updated on January 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.