MRS. NYASHA PAMELA MARIE BONNER NP
NPI 1578633954
Nurse Practitioner - Family in Fayetteville, NC
About Mrs. Nyasha Pamela Marie Bonner Np NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. NYASHA PAMELA MARIE BONNER NP (NPI 1578633954) is an individual family provider in Fayetteville, North Carolina, licensed in Georgia (RN126828) and active in the NPI registry since November 2006. She is enrolled in Medicare PECOS and maintains a secondary practice location in Atlanta.
NPPES Registry Identity
Specialties & Licenses 4
Secondary Practice Location 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Mrs. Nyasha Pamela Marie Bonner Np is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
2Medicare enrollment records show Nyasha Bonner reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Fayetteville, NC 28304
- Reassigned Medicare billing, North Carolina enrollment
- 906 clinicians in this Medicare group
Atlanta, GA 30303
- Reassigned Medicare billing, Georgia enrollment
- 771 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 28304 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
FAYETTEVILLE, NC 28304
FAYETTEVILLE, NC 28304
FAYETTEVILLE, NC 28304
FAYETTEVILLE, NC 28304
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 Nyasha Bonner's NPI number?
The NPI number for Nyasha Bonner is 1578633954. It was assigned to this individual provider in the NPPES registry on November 9, 2006.
Where is Nyasha Bonner located?
Nyasha Bonner practices at 1638 Owen Dr, Fayetteville, NC 28304. The listed phone number is (910) 615-5610.
What is Nyasha Bonner's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Nyasha Bonner enrolled in Medicare?
Yes. Nyasha Bonner is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Nyasha Bonner's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Nyasha Bonner reassigns Medicare benefits to 2 organizations: Cumberland County Hospital System Inc (Fayetteville, NC) and Grady Memorial Hospital Corporation (Atlanta, GA). 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 Nyasha Bonner's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Nyasha Bonner accept?
Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Nyasha 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 Nyasha Bonner was last updated on March 30, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Mrs. Nyasha Pamela Marie Bonner, NP · NPI 1578633954
Family physician in Fayetteville, North Carolina. Individual provider, active in the CMS NPPES registry since November 9, 2006.
## Identity
- **NPI:** 1578633954 (Entity type: Individual)
- **Enumerated:** November 9, 2006
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** RN126828 (Georgia)
- **Sole proprietor:** No
## Practice location
- **Address:** 1638 OWEN DR, Fayetteville, NC 28304-3424
- **Phone:** (910) 615-5610
## 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:** 2 organizations under Medicare reassignment (form CMS-855R): Cumberland County Hospital System Inc (NPI 1063964708, Fayetteville, NC); Grady Memorial Hospital Corporation (NPI 1114243813, Atlanta, GA) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** March 30, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1578633954) · Data from the CMS NPPES public registry.