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SHAVONNE RENEE BONNER FNP
NPI 1669360079
Nurse Practitioner - Family in Fort Worth, TX

Active since June 25, 2025PECOS EnrolledAccepts Medicare Assignment
3800 N TARRANT PKWY STE 210, FORT WORTH, TX 76244(682) 593-6660 Get Directions Write a Review

NPPES record last updated: September 25, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Sep 4, 2025, Jun 25, 2025 (2 updates tracked since 2025).

About Shavonne Renee Bonner Fnp NPPES

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

SHAVONNE RENEE BONNER FNP (NPI 1669360079) is an individual family provider in Fort Worth, Texas, licensed in Texas (1143304) and active in the NPI registry since June 2025. She is enrolled in Medicare PECOS, maintains a secondary practice location in Fort Worth, and is a graduate of Other (2025).

NPPES Registry Identity

NPI1669360079
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameSHAVONNE RENEE BONNERCredential: FNP
Location Address3800 N TARRANT PKWY STE 210Fort Worth, TX 76244-5416
Mailing Address913 Superbloom AveJustin, TX 76247-2093 · (312) 890-6483
Phone(682) 593-6660
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateJune 25, 2025
Last NPPES UpdateSeptember 25, 20252 updates tracked since enumeration
NPPES CertifiedSeptember 25, 2025
✔ NPI 1669360079 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in TX · 1143304
Also ListedRegistered Nurse · General PracticeTaxonomy 163WG0000X · License 1143304 (TX)
3800 N TARRANT PKWY STE 210, Fort Worth, TX 76244
Open in Google Maps ↗

Other Names 1

Former Name (1)Shavonne Renee Faust

Secondary Practice Location 1

Location 18712 Medical City WayFort Worth, TX 76177-2414 · Phone (817) 900-3000

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

Shavonne Renee Bonner Fnp 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 ID6507353505
PECOS Enrollment IDI20251014001964
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 76244 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 4

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

BEEVA CHUDAL
Nurse Practitioner (Primary Care)
3800 N TARRANT PKWY STE 210
FORT WORTH, TX 76244
Tarrant County (682) 593-6660
EMILY ANN LARSON DEVINE
Internal Medicine
3800 N TARRANT PKWY STE 210
FORT WORTH, TX 76244
Tarrant County (682) 593-6660
KRISTEN BOLTON P.A.
Physician Assistant
3800 N TARRANT PKWY STE 210
FORT WORTH, TX 76244
Tarrant County (682) 593-6660
MERENE VALIYAKALAYIL THOMAS DO
Family Medicine
3800 N TARRANT PKWY STE 210
FORT WORTH, TX 76244
Tarrant County (682) 593-6660

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 Shavonne Bonner's NPI number?

The NPI number for Shavonne Bonner is 1669360079. It was assigned to this individual provider in the NPPES registry on June 25, 2025. The provider is also known as Shavonne Renee Faust.

Where is Shavonne Bonner located?

Shavonne Bonner practices at 3800 N Tarrant Pkwy Ste 210, Fort Worth, TX 76244. The listed phone number is (682) 593-6660.

What is Shavonne Bonner's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Shavonne Bonner enrolled in Medicare?

Yes. Shavonne Bonner 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 Shavonne Bonner was last updated on September 25, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.