Bonnie Elizabeth Ellzey, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

5024552 Issued in NC

Practice address

1262 E Broad Ave
Rockingham, NC 28379-4902

Phone

(910) 817-9200

NPI assigned

Jun 18, 2020

Last updated

Jun 12, 2026By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 5

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in MS, MD, VA, TN4 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 4

Specialty

Nurse Practitioner

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Crossroads Urgent Care PLLCGroup PAC ID 8325117484, 181 clinicians

Convenient Care Clinic LLCGroup PAC ID 1052587284, 21 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Convenient Care Clinic, LLC

  • Family Nurse Practitioner
  • Horn Lake, MS
  • NPI 1851490841

  Multi-Specialty

  Medicare reassignment Care Compare group NPD
• Crossroads Urgent Care PLLC

  dba Urgent Team

  • Family Medicine Physician
  • Murfreesboro, TN
  • NPI 1366644361

  Multi-Specialty

  Medicare reassignment Care Compare group NPD
• Community Care Health Network LLC

  dba Matrix Medical Network

  • Nurse Practitioner
  • Nashville, TN
  • NPI 1619368842

  MS, Multi-Specialty

  Medicare reassignment NPD
• Fast Pace Mississippi, PLLC

  • Rural Health Clinic/Center
  • Ripley, MS
  • NPI 1447769559

  Multi-Specialty

  Medicare reassignment NPD
• Medexpress Urgent Care, PC - Maryland

  • Urgent Care Clinic/Center
  • Hagerstown, MD
  • NPI 1164707980

  Multi-Specialty

  Medicare reassignment NPD
• Medexpress Urgent Care, PC - Virginia

  dba MedExpress Urgent Care - Bluefield

  • Urgent Care Clinic/Center
  • Bluefield, VA
  • NPI 1215219878

  Multi-Specialty

  Medicare reassignment NPD
• Fastmed P.C.

  • Family Medicine Physician
  • Durham, NC
  • NPI 1629841788

  Multi-Specialty

  NPD
• Convenient Care Clinic, LLC

  • Rural Health Clinic/Center
  • Batesville, MS
  • NPI 1073246773

  Multi-Specialty

  NPD
• Crossroads Urgent Care PLLC

  dba Urgent Team

  • Rural Health Clinic/Center
  • South Pittsburg, TN
  • NPI 1427781129

  Multi-Specialty

  NPD
• Fast Pace Mississippi, PLLC

  • Rural Health Clinic/Center
  • Kosciusko, MS
  • NPI 1851050579
  NPD
• Medexpress Urgent Care, PC - Maryland

  dba MedExpress Urgent Care - LaVale

  • Urgent Care Clinic/Center
  • Lavale, MD
  • NPI 1073857363
  NPD
• Medexpress Urgent Care, PC - Maryland

  dba MedExpress Urgent Care - Waldorf, Crain Hwy

  • Urgent Care Clinic/Center
  • Waldorf, MD
  • NPI 1528415064

  Family Medicine

  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1592438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781222400000",
    "number": "1972129609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3715 CYPRESS PLANTATION DR",
            "city": "OLIVE BRANCH",
            "state": "MS",
            "postal_code": "386547640",
            "telephone_number": "901-674-4161",
            "fax_number": "662-470-6918"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1262 E BROAD AVE",
            "city": "ROCKINGHAM",
            "state": "NC",
            "postal_code": "283794902",
            "telephone_number": "910-817-9200"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "201 Stateline Rd W Ste 5A",
            "address_purpose": "LOCATION",
            "city": "Southaven",
            "state": "MS",
            "postal_code": "386711600",
            "country_code": "US",
            "telephone_number": "662-253-8959",
            "fax_number": "662-470-6918",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ELLZEY",
        "first_name": "BONNIE",
        "middle_name": "ELIZABETH",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-06-18",
        "last_updated": "2026-06-12",
        "certification_date": "2026-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "5024552",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "904198",
            "primary": false
        },
        {
            "code": "163WM0705X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Medical-Surgical",
            "state": "MS",
            "license": "902486",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MS",
            "license": "904198",
            "primary": false
        },
        {
            "code": "207QA0505X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adult Medicine",
            "state": "MS",
            "license": "904198",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TN BOARD OF NURSING",
            "identifier": "30309",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MS BOARD OF NURSING",
            "identifier": "904198",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Eckerd Corporation (Rite Aid Pharmacy 11516)
• Education 1St Academy LLC
• Jabon Efird
• Patrick Eyaye Egbe, M.D.
• Hazem El-Droubi, M.D.
• Elven C Smith III (Smith Optometric)
• Endurance Services LLC Linda Hough
• Enhance Care LLC
• Enhanced Counseling Solutions, PLLC
• Enrollhere, Inc.

• Family Nurse Practitioner in Rockingham, NC
• Providers in Rockingham, NC by specialty
• Family Nurse Practitioner in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2026; 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.

Verify at the official NPI Registry.