ADAM BONSALL (RN) – Registered Nurse, NPI 1154992162

ADAM BONSALL (RN) is a healthcare provider. based in Negaunee, Michigan. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold the professional credentials RN. They hold a License No. 4704356109 (MI). The NPI Number for ADAM BONSALL (RN) is 1154992162

Main info

Male
3 Years Of Experience
Accepts Medicare Assignment
Name
ADAM BONSALL (RN)
NPI
1154992162
Phone
Not provided
Address
39 COUNTY ROAD 480
Enumeration Date
9 July 2021
Last Update Date
9 July 2021

Doctor Profile

Medical School Name
OAKLAND UNIV, WILLIAM BEAUMONT SCHOOL OF MEDICINE
Secondary Phone
9067741313
Graduation Year
2023 (3 years ago)
PAC ID
6002264454
Group Practice PAC ID
6406260124
Professional Enrollment ID
I20231127001581
Address ID
MI498013637IR1721XAVEX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience32
Completeness75
Years active:4State licenses:1Digital endpointsOther names

2,692 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in MI

Provider Addresses for ADAM BONSALL (RN)

  • 39 COUNTY ROAD 480

    NEGAUNEE, MI 498669558

    Phone:

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2023-11-27

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20231127001581ICertified Registered Nurse Anesthetist (Crna)MITBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 49866)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6406260124View full group profile
NameSpecialtyState
Certified Registered Nurse Anesthetist (Crna)MI
A N E S T H E S I O L O G YCO
Certified Registered Nurse Anesthetist (Crna)MI
Certified Registered Nurse Anesthetist (Crna)MN
Certified Registered Nurse Anesthetist (Crna)MI
Certified Registered Nurse Anesthetist (Crna)TN
Certified Registered Nurse Anesthetist (Crna)MI
Certified Registered Nurse Anesthetist (Crna)MI
Certified Registered Nurse Anesthetist (Crna)OK
Certified Registered Nurse Anesthetist (Crna)MI

Reviews

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Frequently asked questions

What number should I use to identify ADAM BONSALL (RN) for billing?
Administrative and clinical systems typically use NPI 1154992162 for ADAM BONSALL (RN).
Does the public listing show ADAM BONSALL (RN) as active?
ADAM BONSALL (RN)'s NPI record reflects an active status in NPPES.
How should patients interpret ADAM BONSALL (RN)'s specialty?
The extract shows Registered Nurse for ADAM BONSALL (RN). Clinical services aligned with this taxonomy classification.
Which community is linked to ADAM BONSALL (RN)?
ADAM BONSALL (RN) shows a connection to Negaunee, Michigan in registry-derived data.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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