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ALYSSA BONANNO PA-C
NPI 1669279105
Physician Assistant in Waltham, MA

Active since March 03, 2025PECOS EnrolledAccepts Medicare Assignment
71 BORDER RD STE 300, WALTHAM, MA 02451(781) 890-2133(781) 890-2177 Get Directions Write a Review

NPPES record last updated: May 6, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 6, 2025, Mar 3, 2025 (2 updates tracked since 2025).

About Alyssa Bonanno Pa-c NPPES

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

ALYSSA BONANNO PA-C (NPI 1669279105) is an individual physician assistant in Waltham, Massachusetts, licensed in Massachusetts (PA101590) and active in the NPI registry since March 2025. She is enrolled in Medicare PECOS, is affiliated with Emerson Hospital -, and is a graduate of Other (2025).

NPPES Registry Identity

NPI1669279105
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameALYSSA BONANNOCredential: PA-C
Location Address71 BORDER RD STE 300Waltham, MA 02451-1044
Mailing Address71 Border Rd Ste 300Waltham, MA 02451-1044 · (781) 890-2133 · Fax (781) 890-2177
Phone(781) 890-2133
Fax(781) 890-2177
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateMarch 3, 2025
Last NPPES UpdateMay 6, 20252 updates tracked since enumeration
NPPES CertifiedMay 6, 2025
✔ NPI 1669279105 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in MA · PA101590
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
71 BORDER RD STE 300, Waltham, MA 02451
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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

Alyssa Bonanno Pa-c 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 ID7618496852
PECOS Enrollment IDI20250521002072
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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Emerson Hospital -

Acute Care Hospitals · W Concord, MA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220084
Location133 Old Road To 9 Acre CornerW Concord, MA 01742 · Middlesex County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02451 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
$97.64 typical visit price
range $63.72 – $189.86
Typical copayment $24.41 (range $15.93 – $47.46)
Most-billed visit code 99203
Established Patient
$78.84 typical visit price
range $21.07 – $155.29
Typical copayment $19.71 (range $5.26 – $38.82)
Most-billed visit code 99213
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 18

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

DR. GEOFFREY J VAN FLANDERN MD
Orthopaedic Surgery
71 BORDER RD STE 300
WALTHAM, MA 02451
Middlesex County (781) 890-2133
DR. HERVEY L. KIMBALL III MD
Orthopaedic Surgery (Hand Surgery)
71 BORDER RD STE 300
WALTHAM, MA 02451
Middlesex County (781) 890-2133
DR. JACOB MATTHEW KIRSCH MD
Orthopaedic Surgery
71 BORDER RD STE 300
WALTHAM, MA 02451
Middlesex County (781) 890-2133
DR. CHIMA O OHAEGBULAM MD
Neurological Surgery
71 BORDER RD STE 300
WALTHAM, MA 02451
Middlesex County (781) 890-2133
DR. PAUL P WEITZEL M.D.
Orthopaedic Surgery
71 BORDER RD STE 300
WALTHAM, MA 02451
Middlesex County (781) 890-2133
DR. JAMES G NAIRUS MD
Orthopaedic Surgery
71 BORDER RD STE 300
WALTHAM, MA 02451
Middlesex County (781) 890-2133
DR. BRIAN KWON MD
Orthopaedic Surgery
71 BORDER RD STE 300
WALTHAM, MA 02451
Middlesex County (781) 890-2133
DR. KURT J HOFMANN MD
Orthopaedic Surgery
71 BORDER RD STE 300
WALTHAM, MA 02451
Middlesex County (781) 890-2133

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 Alyssa Bonanno's NPI number?

The NPI number for Alyssa Bonanno is 1669279105. It was assigned to this individual provider in the NPPES registry on March 3, 2025.

Where is Alyssa Bonanno located?

Alyssa Bonanno practices at 71 Border Rd Ste 300, Waltham, MA 02451. The listed phone number is (781) 890-2133.

What is Alyssa Bonanno's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Alyssa Bonanno enrolled in Medicare?

Yes. Alyssa Bonanno 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.

Is Alyssa Bonanno affiliated with any hospitals?

According to CMS data, Alyssa Bonanno is affiliated with Emerson Hospital -.

When was this NPI record last updated?

The NPPES record for Alyssa Bonanno was last updated on May 6, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.