LILLIAN CONNIE BOSIRE PMHNP
NPI 1417785502
Nurse Practitioner - Psychiatric/Mental Health in Fort Worth, TX
About Lillian Connie Bosire Pmhnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LILLIAN CONNIE BOSIRE PMHNP (NPI 1417785502) is an individual psychiatric/mental health provider in Fort Worth, Texas, licensed in Texas (1176514) and active in the NPI registry since July 2024. She is enrolled in Medicare PECOS, is affiliated with Jps Health Network, and is a graduate of Other (2023).
NPPES Registry Identity
Specialties & Licenses 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
Lillian Connie Bosire Pmhnp 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 Lillian Bosire reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Fort Worth, TX 76104
- Reassigned Medicare billing, Texas enrollment
- 985 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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Jps Health Network
Acute Care Hospitals · Fort Worth, TXPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 76104 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.
FORT WORTH, TX 76104
FORT WORTH, TX 76104
FORT WORTH, TX 76104
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 Lillian Bosire's NPI number?
The NPI number for Lillian Bosire is 1417785502. It was assigned to this individual provider in the NPPES registry on July 22, 2024.
Where is Lillian Bosire located?
Lillian Bosire practices at 1500 S Main St, Fort Worth, TX 76104. The listed phone number is (817) 702-1100.
What is Lillian Bosire's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.
Is Lillian Bosire enrolled in Medicare?
Yes. Lillian Bosire 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 Lillian Bosire's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Lillian Bosire reassigns Medicare benefits to Acclaim Physician Group, Inc (Fort Worth, 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 Lillian Bosire's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Lillian Bosire 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 3 other insurers list Lillian Bosire 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 Lillian Bosire affiliated with any hospitals?
According to CMS data, Lillian Bosire is affiliated with Jps Health Network.
When was this NPI record last updated?
The NPPES record for Lillian Bosire was last updated on June 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.
# Lillian Connie Bosire, PMHNP · NPI 1417785502
Psychiatric/Mental Health physician in Fort Worth, Texas. Individual provider, active in the CMS NPPES registry since July 22, 2024.
## Identity
- **NPI:** 1417785502 (Entity type: Individual)
- **Enumerated:** July 22, 2024
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **State license:** 1176514 (Texas)
- **Sole proprietor:** No
## Practice location
- **Address:** 1500 S MAIN ST, Fort Worth, TX 76104-4917
- **Phone:** (817) 702-1100
## 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:** Acclaim Physician Group, Inc (NPI 1780076562, Fort Worth, TX), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2023
## Record status
- **NPPES last updated:** June 4, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1417785502) · Data from the CMS NPPES public registry.