LILLIAN CONNIE BOSIRE PMHNP
NPI 1417785502
Nurse Practitioner - Psychiatric/Mental Health in Fort Worth, TX

Active since July 22, 2024PECOS EnrolledAccepts Medicare Assignment
1500 S MAIN ST, FORT WORTH, TX 76104(817) 702-1100 Get Directions Write a Review

NPPES record last updated: June 4, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jun 4, 2025, Sep 26, 2024, Jul 22, 2024 (3 updates tracked since 2024).

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

NPI1417785502
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameLILLIAN CONNIE BOSIRECredential: PMHNP
Location Address1500 S MAIN STFort Worth, TX 76104-4917
Mailing AddressPo Box 732973Dallas, TX 75373-2973 · (817) 918-5204
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateJuly 22, 2024
Last NPPES UpdateJune 4, 20253 updates tracked since enumeration
NPPES CertifiedJune 4, 2025
NPI 1417785502 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License Licensed in TX · 1176514
Also ListedRegistered NurseTaxonomy 163W00000X · License 959213 (TX)
1500 S MAIN ST, Fort Worth, TX 76104

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

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.

PECOS PAC ID3173055589
PECOS Enrollment IDI20241010000246
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.

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, TX
3/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number450039
Location1500 S Main StFort Worth, TX 76104 · Tarrant County
Emergency services Birthing friendly

Physician 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.

New Patient
$87.20 typical visit price
range $56.47 – $171.07
Typical copayment $21.80 (range $14.11 – $42.76)
Most-billed visit code 99203
Established Patient
$99.68 typical visit price
range $18.18 – $139.68
Typical copayment $24.92 (range $4.54 – $34.92)
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.

Family Medicine
1500 S MAIN ST
FORT WORTH, TX 76104
Nurse Anesthetist, Certified Registered
1500 S MAIN ST
FORT WORTH, TX 76104
Family Medicine
1500 S MAIN ST
FT WORTH, TX 76104
Student in an Organized Health Care Education/Training Program
1500 S MAIN ST
FORT WORTH, TX 76104
Student in an Organized Health Care Education/Training Program
1500 S MAIN ST
FORT WORTH, TX 76104
Student in an Organized Health Care Education/Training Program
1500 S MAIN ST
FORT WORTH, TX 76104
Family Medicine
1500 S MAIN ST, FAMILY MEDICINE CENTER
FORT WORTH, TX 76104
Physician Assistant
1500 S MAIN ST
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.

What insurance does Lillian Bosire accept?

Health plans from Molina Healthcare, Oscar Insurance Company and UnitedHealthcare 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 with the weekly NPPES data releases published by CMS.