Amber R Bonema, FNP-BC, ENP-C
Individual provider Active NPI Family Nurse Practitioner · Ashland City, TN
NPI 1275360620 · NPPES record last updated Jul 21, 2026
Key facts
- NPI
- 1275360620
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 37166 (TN)
- Practice address
- 302 N Main St
Ashland City, TN 37015-1306 - Phone
- (615) 792-2280
- Fax
- (615) 412-2053
- NPI assigned
- Sep 18, 2024
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 8
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Crossroads Urgent Care PLLC
Practice addresses (Care Compare)
1466 Tiny Town Rd
Suite C
Clarksville, TN 37042-8294
Phone (931) 503-7093
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TN
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20241209000569 | TN | Practitioner - Nurse Practitioner | 7810423357 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fast Pace Medical Clinic PLLC | Current |
Accepting new patients | |
| Fast Pace Medical Clinic PLLC | Current |
Accepting new patients |
Locations
235 Highway 52 W
Portland, TN 37148
Phone (615) 802-1087
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 37166 | TN | |
| Family Nurse Practitioner | 363LF0000X | 37166 | TN | Yes |
Addresses
Primary practice location
302 N Main St
Ashland City, TN 37015-1306
Mailing address
302 N Main St
Ashland City, TN 37015-1306
Phone (615) 792-2280
Other practice location 1
304 N Main St
Ashland City, TN 37015-1306
Phone (615) 821-2273
Other names
- Amber Desota
Other providers in Ashland City, TN
- Dawn R. Baxter
- Mary B Beasley
- Lauren C Bell
- Bill L Duke II MD PC
- Ellen Christine Blasing
- Robert Brink
- Dawn Brooks
- Michael Andrew Brown
- Scott Duff Brown
- Kelly Bruce
All providers in Ashland City, TN · Family Nurse Practitioner in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 21, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.