EDDIE AMOS BONNER II NP
NPI 1396045241
Nurse Practitioner in San Angelo, TX

Active since October 26, 2010PECOS EnrolledAccepts Medicare Assignment
95.75/100
CMS Quality Rating
120 E HARRIS AVE, SAN ANGELO, TX 76903(325) 657-5028 Get Directions Write a Review

NPPES record last updated: June 17, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Eddie Amos Bonner Ii Np NPPES

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

EDDIE AMOS BONNER II NP (NPI 1396045241) is an individual nurse practitioner in San Angelo, Texas, licensed in Texas (680179) and active in the NPI registry since October 2010. He is enrolled in Medicare PECOS, is affiliated with Shannon Medical Center, and is a graduate of Other (2010).

NPPES Registry Identity

NPI1396045241
Entity TypeIndividualMale
Primary Taxonomy363L00000X
Provider Legal NameEDDIE AMOS BONNER IICredential: NP
Location Address120 E HARRIS AVESan Angelo, TX 76903-5904
Mailing Address120 E Harris AveSan Angelo, TX 76903-5904 · (325) 657-5028
Sole ProprietorNo
Medical School CMSOtherGraduated 2010
Enumeration DateOctober 26, 2010
Last NPPES UpdateJune 17, 2011
NPI 1396045241 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License Licensed in TX · 680179
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
120 E HARRIS AVE, San Angelo, TX 76903

Other Identifiers 2

Other838N75TX · Bcbs
Medicare PINTXB119966TX

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

Eddie Amos Bonner Ii Np 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 ID9638352230
PECOS Enrollment IDI20110318000637
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 4

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.

Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
85 services83 patients
Emergency department visit with low level of medical decision making 99283
An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.
45 services45 patients
Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
15 services15 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
12 services12 patients

Hospital Affiliations CMS Care Compare

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

Shannon Medical Center

Acute Care Hospitals · San Angelo, TX
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450571
Location120 E Harris Ave.San Angelo, TX 76903 · Tom Green County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 76903 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
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

95.75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Promoting Interoperability95
Improvement Activities40

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.

Pharmacist
120 E HARRIS AVE
SAN ANGELO, TX 76903
Emergency Medicine
120 E HARRIS AVE
SAN ANGELO, TX 76903
Psychiatric Hospital
120 E HARRIS AVE
SAN ANGELO, TX 76903
Emergency Medicine
120 E HARRIS AVE
SAN ANGELO, TX 76903
Internal Medicine
120 E HARRIS AVE
SAN ANGELO, TX 76903
Hospitalist
120 E HARRIS AVE
SAN ANGELO, TX 76903
Internal Medicine
120 E HARRIS AVE
SAN ANGELO, TX 76903
Physical Therapist
120 E HARRIS AVE
SAN ANGELO, TX 76903

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 Eddie Bonner's NPI number?

The NPI number for Eddie Bonner is 1396045241. It was assigned to this individual provider in the NPPES registry on October 26, 2010.

Where is Eddie Bonner located?

Eddie Bonner practices at 120 E Harris Ave, San Angelo, TX 76903. The listed phone number is (325) 657-5028.

What is Eddie Bonner's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Eddie Bonner enrolled in Medicare?

Yes. Eddie Bonner 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 Eddie Bonner accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 1 other insurer list Eddie Bonner 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 Eddie Bonner affiliated with any hospitals?

According to CMS data, Eddie Bonner is affiliated with Shannon Medical Center.

When was this NPI record last updated?

The NPPES record for Eddie Bonner was last updated on June 17, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years 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.