LYDIA BUNDICK APRN
NPI 1316483092
Nurse Practitioner - Gerontology in Port Arthur, TX

Active since January 18, 2017PECOS EnrolledAccepts Medicare Assignment
2555 JIMMY JOHNSON BLVD, PORT ARTHUR, TX 77640(609) 585-1122 Get Directions Write a Review

NPPES record last updated: December 31, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 31, 2025, Dec 23, 2025, Sep 11, 2018 and 3 more (6 updates tracked since 2017).

About Lydia Bundick Aprn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LYDIA BUNDICK APRN (NPI 1316483092) is an individual gerontology provider in Port Arthur, Texas, licensed in Texas (AP133119) and active in the NPI registry since January 2017. She is enrolled in Medicare PECOS, is affiliated with Baptist Beaumont Hospital, and maintains a secondary practice location in Beaumont.

NPPES Registry Identity

NPI1316483092
Entity TypeIndividualFemale
Primary Taxonomy363LG0600X
Provider Legal NameLYDIA BUNDICKCredential: APRN
Location Address2555 JIMMY JOHNSON BLVDPort Arthur, TX 77640-2007
Mailing AddressPo Box 7411009Chicago, IL 60674-3009 · (609) 585-1122
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateJanuary 18, 2017
Last NPPES UpdateDecember 31, 20256 updates tracked since enumeration
NPPES CertifiedDecember 31, 2025
NPI 1316483092 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · GerontologyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LG0600X
License Licensed in TX · AP133119
Also ListedNurse Practitioner · Acute CareTaxonomy 363LA2100X · License AP133119 (TX)
2555 JIMMY JOHNSON BLVD, Port Arthur, TX 77640

Secondary Practice Location 1

Location 12929 Calder St, SUITE 100Beaumont, TX 77702-1845 · Phone (409) 833-9797 · Fax (409) 654-6921

Other Identifiers 1

Medicaid368262701TX

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Lydia Bundick Aprn is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7911281795
PECOS Enrollment IDI20170222001115
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
154 services139 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
28 services28 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
20 services15 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Baptist Beaumont Hospital

Acute Care Hospitals · Beaumont, TX
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450346
Location3080 College StreetBeaumont, TX 77701 · Jefferson County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77640 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$83.80 typical visit price
range $54.04 – $164.93
Typical copayment $20.95 (range $13.51 – $41.23)
Most-billed visit code 99203
Established Patient
$95.83 typical visit price
range $17.17 – $134.47
Typical copayment $23.95 (range $4.29 – $33.61)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Family)
2555 JIMMY JOHNSON BLVD
PORT ARTHUR, TX 77640
Dietitian, Registered
2555 JIMMY JOHNSON BLVD
PORT ARTHUR, TX 77640
Radiology (Diagnostic Radiology)
2555 JIMMY JOHNSON BLVD
PORT ARTHUR, TX 77640
Rehabilitation Unit
2555 JIMMY JOHNSON BLVD
PORT ARTHUR, TX 77640
Pathology (Anatomic Pathology & Clinical Pathology)
2555 JIMMY JOHNSON BLVD
PORT ARTHUR, TX 77640
Emergency Medicine
2555 JIMMY JOHNSON BLVD
PORT ARTHUR, TX 77640
Pediatrics (Neonatal-Perinatal Medicine)
2555 JIMMY JOHNSON BLVD
PORT ARTHUR, TX 77640
Hospitalist
2555 JIMMY JOHNSON BLVD
PORT ARTHUR, TX 77640

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lydia Bundick's NPI number?

The NPI number for Lydia Bundick is 1316483092. It was assigned to this individual provider in the NPPES registry on January 18, 2017.

Where is Lydia Bundick located?

Lydia Bundick practices at 2555 Jimmy Johnson Blvd, Port Arthur, TX 77640. The listed phone number is (609) 585-1122.

What is Lydia Bundick's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.

Is Lydia Bundick enrolled in Medicare?

Yes. Lydia Bundick is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Lydia Bundick accept?

Health plans from Blue Cross and Blue Shield of Texas, Community Health Choice and Molina Healthcare list Lydia Bundick as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Lydia Bundick affiliated with any hospitals?

According to CMS data, Lydia Bundick is affiliated with Baptist Beaumont Hospital.

When was this NPI record last updated?

The NPPES record for Lydia Bundick was last updated on December 31, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.