Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Nichole Bonzano, PA-C

Individual provider Physician Assistant · NPI 1003485756

Nichole Bonzano, PA-C is a Physician Assistant in Nashville, Tennessee. Qualified in 2020, 6 years ago. Practices with Wake Forest University Health Sciences, a 2,621-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Tennessee.

Years since qualifying
6
Licensed in
TN
In the registry since
2021
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

3601 The Vanderbilt Clinic
Nashville, TN 37232-0029
Phone: (615) 322-3000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1301 Medical Center Dr Ste 2501, Nashville, TN 37232-0029 — (615) 322-5000

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 4567 (TN)

Record details

NPI number1003485756
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJune 17, 2021
Last updated in NPPESMarch 21, 2022
Certification dateMarch 21, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Wake Forest University Health Sciences — 2621 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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