SARAH BONASSO PNP
NPI 1780167387
Nurse Practitioner - Pediatrics in Fairmont, WV

Active since September 10, 2018PECOS Enrolled
101 TYGART MALL LOOP STE 102A, FAIRMONT, WV 26554(304) 599-8000(304) 599-8003 Get Directions Write a Review

NPPES record last updated: April 12, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 12, 2022, Apr 1, 2020, Sep 10, 2018 (3 updates tracked since 2018).

About Sarah Bonasso Pnp NPPES

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

SARAH BONASSO PNP (NPI 1780167387) is an individual pediatrics provider in Fairmont, West Virginia, licensed in West Virginia (85838) and active in the NPI registry since September 2018. She is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1780167387
Entity TypeIndividualFemale
Primary Taxonomy363LP0200X
Provider Legal NameSARAH BONASSOCredential: PNP
Location Address101 TYGART MALL LOOP STE 102AFairmont, WV 26554-2972
Mailing Address1247 Suncrest Town Centre DrMorgantown, WV 26505-1876 · (304) 599-8000
Fax(304) 599-8003
Sole ProprietorNo
Enumeration DateSeptember 10, 2018
Last NPPES UpdateApril 12, 20223 updates tracked since enumeration
NPPES CertifiedApril 12, 2022
NPI 1780167387 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0200X
License Licensed in WV · 85838
101 TYGART MALL LOOP STE 102A, Fairmont, WV 26554

Secondary Practice Locations 2

Location 11247 Suncrest Town Centre DrMorgantown, WV 26505-1876 · Phone (304) 599-8000
Location 29000 Coombs Farm RdMorgantown, WV 26508-1149 · Phone (304) 599-8000 · Fax (304) 599-8003

Other Identifiers 1

Other85838WV · Wv Board Of Examiners For Registered Professional Nurses

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)

Sarah Bonasso Pnp 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 26554 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
$83.49 typical visit price
range $53.20 – $164.59
Typical copayment $20.87 (range $13.30 – $41.14)
Most-billed visit code 99203
Established Patient
$94.81 typical visit price
range $16.47 – $133.29
Typical copayment $23.70 (range $4.11 – $33.32)
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 Sarah Bonasso's NPI number?

The NPI number for Sarah Bonasso is 1780167387. It was assigned to this individual provider in the NPPES registry on September 10, 2018.

Where is Sarah Bonasso located?

Sarah Bonasso practices at 101 Tygart Mall Loop Ste 102A, Fairmont, WV 26554. The listed phone number is (304) 599-8000.

What is Sarah Bonasso's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

Is Sarah Bonasso enrolled in Medicare?

Yes. Sarah Bonasso is registered in the Medicare PECOS enrollment system.

What insurance does Sarah Bonasso accept?

Health plans from CareSource and Highmark Blue Cross Blue Shield West Virginia list Sarah Bonasso 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 Sarah Bonasso was last updated on April 12, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.