ANNIE BOMER APRN
NPI 1497330617
Nurse Practitioner in Round Rock, TX

Active since March 10, 2021PECOS EnrolledAccepts Medicare Assignment
3200 GREENLAWN BLVD STE 160, ROUND ROCK, TX 78664(281) 783-8162 Get Directions Write a Review

NPPES record last updated: November 1, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 1, 2022, Mar 10, 2021 (2 updates tracked since 2021).

About Annie Bomer Aprn NPPES

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

ANNIE BOMER APRN (NPI 1497330617) is an individual nurse practitioner in Round Rock, Texas, licensed in Texas (1030922) and active in the NPI registry since March 2021. She is enrolled in Medicare PECOS, maintains a secondary practice location in Austin, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1497330617
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameANNIE BOMERCredential: APRN
Location Address3200 GREENLAWN BLVD STE 160Round Rock, TX 78664-7591
Mailing Address2925 Briarpark Dr Ste 575Houston, TX 77042-3776
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateMarch 10, 2021
Last NPPES UpdateNovember 1, 20222 updates tracked since enumeration
NPPES CertifiedNovember 1, 2022
NPI 1497330617 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License Licensed in TX · 1030922
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.
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License 1030922 (TX)
3200 GREENLAWN BLVD STE 160, Round Rock, TX 78664

Secondary Practice Location 1

Location 113124 Amarillo Ave # AAustin, TX 78729-7541 · Phone (512) 350-1969

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

Annie Bomer 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.

PECOS PAC ID3678963063
PECOS Enrollment IDI20211129000538
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78664 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.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Standard wheelchair K0001
DME-Wheelchairs · category DD000N
2 suppliers30 claims30 services$17.06 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Family Medicine
3200 GREENLAWN BLVD STE 160
ROUND ROCK, TX 78664
Clinic/Center (Urgent Care)
3200 GREENLAWN BLVD STE 160
ROUND ROCK, TX 78664

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 Annie Bomer's NPI number?

The NPI number for Annie Bomer is 1497330617. It was assigned to this individual provider in the NPPES registry on March 10, 2021.

Where is Annie Bomer located?

Annie Bomer practices at 3200 Greenlawn Blvd Ste 160, Round Rock, TX 78664. The listed phone number is (281) 783-8162.

What is Annie Bomer's specialty?

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

Is Annie Bomer enrolled in Medicare?

Yes. Annie Bomer 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.

When was this NPI record last updated?

The NPPES record for Annie Bomer was last updated on November 1, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.