MRS. CARLY ANNE BRONSON R.N., NP
NPI 1962628719
Nurse Practitioner - Family in Big Bear Lake, CA

Active since April 18, 2007PECOS EnrolledAccepts Medicare Assignment
41820 GARSTIN DR., BIG BEAR LAKE, CA 92315(909) 878-8246(909) 878-8294 Get Directions Write a Review

NPPES record last updated: August 3, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mrs. Carly Anne Bronson R.n., Np NPPES

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

MRS. CARLY ANNE BRONSON R.N., NP (NPI 1962628719) is an individual family provider in Big Bear Lake, California, licensed in California (95001879) and active in the NPI registry since April 2007. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Case Western University School Of Dental Medicine (2006).

NPPES Registry Identity

NPI1962628719
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMRS. CARLY ANNE BRONSONCredential: R.N., NP
Location Address41820 GARSTIN DR.Big Bear Lake, CA 92315
Mailing AddressPo Box 1649Big Bear Lake, CA 92315-1649 · (909) 878-8246 · Fax (909) 878-8294
Fax(909) 878-8294
Sole ProprietorYes
Medical School CMSCase Western University School Of Dental MedicineGraduated 2006
Enumeration DateApril 18, 2007
Last NPPES UpdateAugust 3, 2023
NPPES CertifiedAugust 1, 2023
NPI 1962628719 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
Licenses Licensed in CA · 95001879 Licensed in NH · 060326-23 Licensed in OH · COA.12102-NP
Also ListedGeneral Acute Care HospitalTaxonomy 282N00000X · License 101-0033221 (VT)
41820 GARSTIN DR., Big Bear Lake, CA 92315

Secondary Practice Locations 2

Location 11028 W Big Bear BlvdBig Bear City, CA 92314-9562 · Phone (909) 878-8227
Location 242683 Moonridge RdBig Bear Lake, CA 92315 · Phone (909) 436-8197

Other Identifiers 3

Medicaid1013302VT
Medicaid1013302OH
Medicaid19626228719VT

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

Mrs. Carly Anne Bronson R.n., 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 ID8729165378
PECOS Enrollment IDI20111017000778
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 92315 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
$91.88 typical visit price
range $59.60 – $179.42
Typical copayment $22.97 (range $14.90 – $44.85)
Most-billed visit code 99203
Established Patient
$104.64 typical visit price
range $19.37 – $146.42
Typical copayment $26.16 (range $4.84 – $36.60)
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

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

Psychiatry & Neurology (Psychiatry)
41820 GARSTIN DR.
BIG BEAR LAKE, CA 92315

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 Carly Bronson's NPI number?

The NPI number for Carly Bronson is 1962628719. It was assigned to this individual provider in the NPPES registry on April 18, 2007.

Where is Carly Bronson located?

Carly Bronson practices at 41820 Garstin Dr., Big Bear Lake, CA 92315. The listed phone number is (909) 878-8246.

What is Carly Bronson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Carly Bronson enrolled in Medicare?

Yes. Carly Bronson 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.

When was this NPI record last updated?

The NPPES record for Carly Bronson was last updated on August 3, 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.