LYDIA BUNDICK APRN
NPI 1316483092
Nurse Practitioner - Gerontology in Port Arthur, TX
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 Christus Southeast Texas- St Elizabeth, and maintains a secondary practice location in Beaumont.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
Other Identifiers 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
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.
Medicare Billing Reassignments
4Medicare enrollment records show Lydia Bundick reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Beaumont, TX 77701
- Reassigned Medicare billing, Texas enrollment
- 56 clinicians in this Medicare group
Beaumont, TX 77702
- Reassigned Medicare billing, Texas enrollment
- 103 clinicians in this Medicare group
Beaumont, TX 77706
- Reassigned Medicare billing, Texas enrollment
- 34 clinicians in this Medicare group
Naperville, IL 60565
- Reassigned Medicare billing, Texas enrollment
- 43 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Christus Southeast Texas- St Elizabeth
Acute Care Hospitals · Beaumont, TXBaptist Beaumont Hospital
Acute Care Hospitals · Beaumont, TXPhysician 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.
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.
PORT ARTHUR, TX 77640
PORT ARTHUR, TX 77640
PORT ARTHUR, TX 77640
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.
Which organizations bill Medicare for Lydia Bundick's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Lydia Bundick reassigns Medicare benefits to 4 organizations: Beaumont Emergency Medicine Associates PLLC (Beaumont, TX), Jefferson Physician Services, PLLC (Beaumont, TX), Rhg Of Texas PA (Beaumont, TX) and First Docs PC (Naperville, IL). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Lydia Bundick's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Lydia Bundick accept?
Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and Ambetter from Superior HealthPlan and 2 other insurers 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 Christus Southeast Texas- St Elizabeth and 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 9 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.
# Lydia Bundick, APRN · NPI 1316483092
Gerontology physician in Port Arthur, Texas. Individual provider, active in the CMS NPPES registry since January 18, 2017.
## Identity
- **NPI:** 1316483092 (Entity type: Individual)
- **Enumerated:** January 18, 2017
- **Primary specialty:** Nurse Practitioner - Gerontology · taxonomy 363LG0600X
- **State license:** AP133119 (Texas)
- **Sole proprietor:** No
## Practice location
- **Address:** 2555 JIMMY JOHNSON BLVD, Port Arthur, TX 77640-2007
- **Phone:** (609) 585-1122
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 4 organizations under Medicare reassignment (form CMS-855R): Beaumont Emergency Medicine Associates PLLC (NPI 1881716983, Beaumont, TX); Jefferson Physician Services, PLLC (NPI 1598546764, Beaumont, TX); Rhg Of Texas PA (NPI 1013734243, Beaumont, TX); First Docs PC (NPI 1417655465, Naperville, IL) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2016
## Record status
- **NPPES last updated:** December 31, 2025
- **Other identifiers:** Medicaid 368262701 (TX)
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Source: [NPI Profile](https://npiprofile.com/npi/1316483092) · Data from the CMS NPPES public registry.