JILL MARIE BOMAR FNP-BC
NPI 1629965066
Nurse Practitioner in San Antonio, TX

Q: What is Jill Bomar's NPI number?

The NPI number for Jill Bomar is 1629965066. It was assigned to this individual provider in the NPPES registry on June 19, 2025.

Q: What is Jill Bomar's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Jill Bomar was last updated on January 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.

Active since June 19, 2025PECOS EnrolledAccepts Medicare Assignment

21750 HARDY OAK BLVD STE 104, SAN ANTONIO, TX 78258(956) 969-2904 Get Directions Write a Review

NPPES record last updated: January 9, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 9, 2026, Dec 1, 2025, Jun 19, 2025 (3 updates tracked since 2025).

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About Jill Marie Bomar Fnp-bc NPPES

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

JILL MARIE BOMAR FNP-BC (NPI 1629965066) is an individual nurse practitioner in San Antonio, Texas, licensed in Texas (1063117) and active in the NPI registry since June 2025. She is enrolled in Medicare PECOS, maintains a secondary practice location in Weslaco, and is a graduate of Other (2025).

NPPES Registry Identity

NPI1629965066

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameJILL MARIE BOMARCredential: FNP-BC

Location Address21750 HARDY OAK BLVD STE 104San Antonio, TX 78258-4946

Mailing Address21750 Hardy Oak Blvd Ste 104San Antonio, TX 78258-4946

Phone(956) 969-2904

Sole ProprietorNo

Medical School CMSOtherGraduated 2025

Enumeration DateJune 19, 2025

Last NPPES UpdateJanuary 9, 20263 updates tracked since enumeration

NPPES CertifiedJanuary 9, 2026

✔ NPI 1629965066 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in TX · 1063117

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.

21750 HARDY OAK BLVD STE 104, San Antonio, TX 78258

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Secondary Practice Location 1

Location 1902 S Airport DrWeslaco, TX 78596-6644 · Phone (956) 969-2904

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

Jill Marie Bomar Fnp-bc 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 ID5890280606

PECOS Enrollment IDI20251219000171

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 78258 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.

Other Providers at the Same Location NPPES 9

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

FIRST ASSIST OF CENTRAL TEXAS LLC

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