EDDIE AMOS BONNER II NP
NPI 1396045241
Nurse Practitioner in San Angelo, TX
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
Specialties & Licenses
Other Identifiers 2
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
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.
Medicare Billing Reassignment
Medicare enrollment records show Eddie Bonner reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
San Angelo, TX 76903
- Reassigned Medicare billing, Texas enrollment
- 671 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 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.
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, TXPhysician 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.
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.
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.
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.
Which organization bills Medicare for Eddie Bonner's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Eddie Bonner reassigns Medicare benefits to Shannon Clinic (San Angelo, TX). The 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 Eddie Bonner's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
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 2 other insurers 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.
# Eddie Amos Bonner II, NP · NPI 1396045241
Nurse Practitioner physician in San Angelo, Texas. Individual provider, active in the CMS NPPES registry since October 26, 2010.
## Identity
- **NPI:** 1396045241 (Entity type: Individual)
- **Enumerated:** October 26, 2010
- **Primary specialty:** Nurse Practitioner · taxonomy 363L00000X
- **State license:** 680179 (Texas)
- **Sole proprietor:** No
## Practice location
- **Address:** 120 E HARRIS AVE, San Angelo, TX 76903-5904
- **Phone:** (325) 657-5028
## 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:** Shannon Clinic (NPI 1770587149, San Angelo, TX), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2010
## Record status
- **NPPES last updated:** June 17, 2011
- **Other identifiers:** Other 838N75 (TX); Medicare PIN TXB119966 (TX)
---
Source: [NPI Profile](https://npiprofile.com/npi/1396045241) · Data from the CMS NPPES public registry.