MRS. NYASHA PAMELA MARIE BONNER NP
NPI 1578633954
Nurse Practitioner - Family in Fayetteville, NC

Active since November 09, 2006PECOS Enrolled
1638 OWEN DR, FAYETTEVILLE, NC 28304(910) 615-5610 Get Directions Write a Review

NPPES record last updated: March 30, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 30, 2023, Sep 11, 2019, Mar 14, 2019 (3 updates tracked since 2019).

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

NPI1578633954
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMRS. NYASHA PAMELA MARIE BONNERCredential: NP
Location Address1638 OWEN DRFayetteville, NC 28304-3424
Mailing Address80 Jesse Hill Jr Dr Se, Ste 10e005dAtlanta, GA 30303-3031 · (404) 489-9015 · Fax (404) 489-9238
Sole ProprietorNo
Enumeration DateNovember 9, 2006
Last NPPES UpdateMarch 30, 20233 updates tracked since enumeration
NPPES CertifiedMarch 30, 2023
NPI 1578633954 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in GA · RN126828
Also ListedRegistered NurseTaxonomy 163W00000X · License 4704158472 (MI)
Also ListedNurse PractitionerTaxonomy 363L00000X · License 5011349 (NC)
Also ListedAdvanced Practice MidwifeTaxonomy 367A00000X · License 255825 (MA), RN126828 (GA)
1638 OWEN DR, Fayetteville, NC 28304

Secondary Practice Location 1

Location 180 Jesse Hill Jr Dr SE, Ste 10E005DAtlanta, GA 30303-3031 · Phone (404) 489-9015 · Fax (404) 489-9238

Accepted Insurance

Medicare Participation & PECOS CMS

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

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).

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 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.

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 20

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

Nurse Anesthetist, Certified Registered
1638 OWEN DR
FAYETTEVILLE, NC 28304
Nurse Practitioner (Family)
1638 OWEN DR
FAYETTEVILLE, NC 28304
Pharmacist
1638 OWEN DR
FAYETTEVILLE, NC 28304
Nurse Practitioner
1638 OWEN DR
FAYETTEVILLE, NC 28304
Hospitalist
1638 OWEN DR
FAYETTEVILLE, NC 28304
Student in an Organized Health Care Education/Training Program
1638 OWEN DR
FAYETTEVILLE, NC 28304
Student in an Organized Health Care Education/Training Program
1638 OWEN DR
FAYETTEVILLE, NC 28304
Pathology (Anatomic Pathology & Clinical Pathology)
1638 OWEN DR
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.

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.