AMANDA MARIE BONAZZI – Adult Health Clinical Nurse Specialist, NPI 1205009362

AMANDA MARIE BONAZZI is a healthcare provider. based in Austin, Texas. specializing in CERTIFIED CLINICAL NURSE SPECIALIST (CNS). They hold a License No. 721093 (TX). The NPI Number for AMANDA MARIE BONAZZI is 1205009362

Main info

Female
19 Years Of Experience
Accepts Medicare Assignment
Name
AMANDA MARIE BONAZZI
NPI
1205009362
Phone
(512) 458-8400
Address
6500 NORTH MOPAC
Enumeration Date
10 April 2008
Last Update Date
27 October 2015

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5124588400
Graduation Year
2007 (19 years ago)
PAC ID
4688744162
Group Practice PAC ID
3577459031
Professional Enrollment ID
I20080610000653
Address ID
TX786815514RO110XXDRXX400
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience50
Completeness75
Years active:18State licenses:1Digital endpointsOther names

191 CERTIFIED CLINICAL NURSE SPECIALIST (CNS) in TX

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Provider Addresses for AMANDA MARIE BONAZZI

  • South Mopac Expressway, Austin, Travis County, Texas, 78739, United States

    BUILDING 3 SUITE 200

    AUSTIN, TX 78731

    Phone: (512) 458-8400

    Fax: (512) 458-8593

    Type: Mailing

  • Deepwood Drive, The Oaklands, Round Rock, Williamson County, Texas, 78681, United States

    SUITE 104

    ROUND ROCK, TX 786814944

    Phone: (512) 458-8400

    Fax: (512) 458-8593

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 59 Open Payments records for all available years, with a total value of $1,372.

Total Amount is formed as General ($1,372) + Research ($0) + Ownership ($0) = $1,372.

Last reported payment date: 2024-12-26 • Largest payer in this snapshot: Novo Nordisk Inc ($164).

Total Amount

$1,372

General + Research + Ownership

Payments

59

Total payment records

General Amount

$1,372

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-26

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2008-06-10

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
I20080610000653ICertified Clinical Nurse Specialist (Cns)TXTBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes470314$0
95251Continuous monitoring of blood sugar level in tissue fluid using sensor under skin with interpretation and report9558$0
99204New patient office or other outpatient visit, 45-59 minutes1616$0
View full utilization report →

Insurance plans in this area (ZIP 78731)

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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: 3577459031View full group profile
NameSpecialtyState
E N D O C R I N O L O G YUT
E N D O C R I N O L O G YTX
Nurse PractitionerTX
Certified Clinical Nurse Specialist (Cns)TX
E N D O C R I N O L O G YTX
Certified Clinical Nurse Specialist (Cns)TX
Endocrinology, Internal MedicineTX
-TX
E N D O C R I N O L O G YTX
Nurse PractitionerTX

Reviews

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Frequently asked questions

Can I verify AMANDA MARIE BONAZZI with an NPI only?
You can start verification with NPI 1205009362 for AMANDA MARIE BONAZZI, then check state licensing separately.
Is AMANDA MARIE BONAZZI still practicing?
AMANDA MARIE BONAZZI is currently listed as active in the public NPI registry.
What is AMANDA MARIE BONAZZI's specialty?
The listing groups AMANDA MARIE BONAZZI with Adult Health Clinical Nurse Specialist. Clinical services aligned with this taxonomy classification.
What area does AMANDA MARIE BONAZZI serve?
AMANDA MARIE BONAZZI's listing highlights Austin, Texas; more addresses can appear in NPPES.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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