Active NPI
Alicia Bonsall, CRNP
- Family Nurse Practitioner
- Lancaster, PA
National Provider Identifier
1164956587
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- SP017325
- Practice address
- 1507 Lititz Pike
Lancaster, PA 17601-6505 - Phone
- (717) 397-0369
- NPI assigned
- Apr 12, 2017
- Last updated
- Jan 18, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | SP017325 | PA | Primary |
Addresses
Primary practice location
1507 Lititz Pike
Lancaster, PA 17601-6505
Mailing address
1507 Lititz Pike
Lancaster, PA 17601-6505
Other practice location 1
3015 Lincoln Hwy
Thorndale, PA 19372-1114
Phone (610) 380-7180
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 83.44 of 100
- Quality
- 78.68
- Improvement activities
- 40
- Cost
- 83.9
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Matrix Medical Plus | Current | Accepting new patients |
Locations
9201 E Mountain View Rd
Ste 220
Scottsdale, AZ 85258
Phone (480) 862-1883
100 S Juniper St
Fl 3
Philadelphia, PA 19107
Phone (267) 999-9534
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1491955200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1547769600000",
"number": "1164956587",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1507 LITITZ PIKE",
"city": "LANCASTER",
"state": "PA",
"postal_code": "176016505"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1507 LITITZ PIKE",
"city": "LANCASTER",
"state": "PA",
"postal_code": "176016505",
"telephone_number": "717-397-0369"
}
],
"practiceLocations": [
{
"address_1": "3015 Lincoln Hwy",
"address_purpose": "LOCATION",
"city": "Thorndale",
"state": "PA",
"postal_code": "193721114",
"country_code": "US",
"telephone_number": "610-380-7180",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BONSALL",
"first_name": "ALICIA",
"credential": "CRNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-04-12",
"last_updated": "2019-01-18",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "PA",
"license": "SP017325",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lancaster, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.