1. Home
  2. Directory
  3. Texas
  4. Fort Worth
  5. Nurse Practitioner
  6. NPI Profile

JUDITH JOSE BONIFACIO RN, MSN, CPNP-PC
NPI 1629549019
Nurse Practitioner - Primary Care in Fort Worth, TX

Active since December 10, 2018PECOS Enrolled
1500 W ROSEDALE ST, FORT WORTH, TX 76104(682) 885-3426(682) 885-7699 Get Directions Write a Review

NPPES record last updated: October 16, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 16, 2023, Sep 26, 2022, Dec 26, 2018 and 1 more (4 updates tracked since 2018).

About Judith Jose Bonifacio Rn, Msn, Cpnp-pc NPPES

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

JUDITH JOSE BONIFACIO RN, MSN, CPNP-PC (NPI 1629549019) is an individual primary care provider in Fort Worth, Texas, licensed in Texas (AP138755) and active in the NPI registry since December 2018. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1629549019
Entity TypeIndividualFemale
Primary Taxonomy363LP2300X
Provider Legal NameJUDITH JOSE BONIFACIOCredential: RN, MSN, CPNP-PC
Location Address1500 W ROSEDALE STFort Worth, TX 76104-7403
Mailing AddressPo Box 733784Dallas, TX 75373-3784 · (682) 885-6483 · Fax (682) 885-3113
Phone(682) 885-3426
Fax(682) 885-7699
Sole ProprietorNo
Enumeration DateDecember 10, 2018
Last NPPES UpdateOctober 16, 20234 updates tracked since enumeration
NPPES CertifiedOctober 16, 2023
✔ NPI 1629549019 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP2300X
License✔ Licensed in TX · AP138755
Also ListedNurse Practitioner · PediatricsTaxonomy 363LP0200X · License AP138755 (TX)
1500 W ROSEDALE ST, Fort Worth, TX 76104
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, Imperial Insurance Companies, Inc..Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Judith Jose Bonifacio Rn, Msn, Cpnp-pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 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 8

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

DR. LISA A. DUCHAMP M.D.
Pediatrics
1500 W ROSEDALE ST
FORT WORTH, TX 76104
Tarrant County (682) 885-6726
MS. GINA SERRANO CPNP
Nurse Practitioner (Primary Care)
1500 W ROSEDALE ST
FORT WORTH, TX 76104
Tarrant County (682) 885-3426
NISHA RATHORE M.D.
Pediatrics
1500 W ROSEDALE ST
FORT WORTH, TX 76104
Tarrant County (682) 885-3426
FELISHA-Y PHAM PA
Physician Assistant
1500 W ROSEDALE ST
FORT WORTH, TX 76104
Tarrant County (682) 885-3426
USHA ANANTHASWAMY CPNP
Nurse Practitioner (Acute Care)
1500 W ROSEDALE ST
FORT WORTH, TX 76104
Tarrant County (682) 885-3426
AUTUMN BRIANNE MORRIS CPNP-PC
Nurse Practitioner (Primary Care)
1500 W ROSEDALE ST
FORT WORTH, TX 76104
Tarrant County (682) 885-3426
JENNA L GRAF FNP
Nurse Practitioner (Family)
1500 W ROSEDALE ST
FORT WORTH, TX 76104
Tarrant County (682) 885-3426
LINDSAY THATCHER CPNP
Nurse Practitioner (Primary Care)
1500 W ROSEDALE ST
FORT WORTH, TX 76104
Tarrant County (682) 885-3426

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 Judith Bonifacio's NPI number?

The NPI number for Judith Bonifacio is 1629549019. It was assigned to this individual provider in the NPPES registry on December 10, 2018.

Where is Judith Bonifacio located?

Judith Bonifacio practices at 1500 W Rosedale St, Fort Worth, TX 76104. The listed phone number is (682) 885-3426.

What is Judith Bonifacio's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

Is Judith Bonifacio enrolled in Medicare?

Yes. Judith Bonifacio is registered in the Medicare PECOS enrollment system.

What insurance does Judith Bonifacio accept?

Health plans from Blue Cross and Blue Shield of Texas and Imperial Insurance Companies, Inc. list Judith Bonifacio 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.

When was this NPI record last updated?

The NPPES record for Judith Bonifacio was last updated on October 16, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.