SHAVONNE RENEE BONNER FNP
NPI 1669360079
Nurse Practitioner - Family in Fort Worth, TX
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
Specialties & Licenses 2
Other Names 1
Secondary Practice Location 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
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.
Medicare Billing Reassignments
2Medicare enrollment records show Shavonne Bonner reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Denton, TX 76201
- Reassigned Medicare billing, Texas enrollment
- 228 clinicians in this Medicare group
Decatur, TX 76234
- Reassigned Medicare billing, Texas enrollment
- 4 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
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.
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.
Which organizations bill Medicare for Shavonne Bonner's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Shavonne Bonner reassigns Medicare benefits to 2 organizations: Primary Health Physicians, PLLC (Denton, TX) and Epic Heart And Vascular Care PLLC (Decatur, TX). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Shavonne Bonner's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Shavonne Bonner accept?
Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and Ambetter from Superior HealthPlan and 2 other insurers list Shavonne Bonner 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 Shavonne Bonner was last updated on September 25, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.
# Shavonne Renee Bonner, FNP · NPI 1669360079
Family physician in Fort Worth, Texas. Individual provider, active in the CMS NPPES registry since June 25, 2025.
## Identity
- **NPI:** 1669360079 (Entity type: Individual)
- **Enumerated:** June 25, 2025
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 1143304 (Texas)
- **Sole proprietor:** No
## Practice location
- **Address:** 3800 N TARRANT PKWY STE 210, Fort Worth, TX 76244-5416
- **Phone:** (682) 593-6660
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Primary Health Physicians, PLLC (NPI 1770048704, Denton, TX); Epic Heart And Vascular Care PLLC (NPI 1679198659, Decatur, TX) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2025
## Record status
- **NPPES last updated:** September 25, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1669360079) · Data from the CMS NPPES public registry.