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PRINCESS FONSECA NP
NPI 1689549578
Nurse Practitioner - Primary Care in Fort Bragg, NC

Active since October 09, 2025PECOS EnrolledAccepts Medicare Assignment
16 PROVIDER CIR, FORT BRAGG, NC 28307(912) 532-0598 Get Directions Write a Review

NPPES record last updated: October 9, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Princess Fonseca Np NPPES

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

PRINCESS FONSECA NP (NPI 1689549578) is an individual primary care provider in Fort Bragg, North Carolina, licensed in Georgia (004090) and active in the NPI registry since October 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1689549578
Entity TypeIndividualFemale
Primary Taxonomy363LP2300X
Provider Legal NamePRINCESS FONSECACredential: NP
Location Address16 PROVIDER CIRFort Bragg, NC 28307-1518
Mailing Address16 Provider CirFort Bragg, NC 28307-1518 · (912) 532-0598
Phone(912) 532-0598
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateOctober 9, 2025
NPPES CertifiedOctober 9, 2025
✔ NPI 1689549578 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP2300X
License✔ Licensed in GA · 004090
16 PROVIDER CIR, Fort Bragg, NC 28307
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of Alabama and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Princess Fonseca Np 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 ID4385125814
PECOS Enrollment IDI20260224000068
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 Reassignment

Medicare enrollment records show Princess Fonseca reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Diversity Health Center Inc.
273 mi
Federally Qualified Health Center (FQHC)
502 E GENERAL STEWART WAY STE A
Hinesville, GA 31313
  • Reassigned Medicare billing, Georgia enrollment
  • 27 clinicians in this Medicare group
NPI 1326594714 (912) 318-3947

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 28307 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.

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 Princess Fonseca's NPI number?

The NPI number for Princess Fonseca is 1689549578. It was assigned to this individual provider in the NPPES registry on October 9, 2025.

Where is Princess Fonseca located?

Princess Fonseca practices at 16 Provider Cir, Fort Bragg, NC 28307. The listed phone number is (912) 532-0598.

What is Princess Fonseca's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

Is Princess Fonseca enrolled in Medicare?

Yes. Princess Fonseca 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.

Which organization bills Medicare for Princess Fonseca's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Princess Fonseca reassigns Medicare benefits to Diversity Health Center Inc. (Hinesville, GA). The 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 Princess Fonseca's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Princess Fonseca accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Princess Fonseca 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 Princess Fonseca was last updated on October 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.