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DR. ALEXIS HERNANDEZ BONILLA MD
NPI 1700518735
General Practice in Dade City, FL

Active since June 28, 2022PECOS EnrolledAccepts Medicare Assignment
13438 FORT KING RD, DADE CITY, FL 33525(352) 567-5266(352) 567-3066 Get Directions Write a Review

NPPES record last updated: October 2, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 2, 2025, Jun 11, 2024, Jun 7, 2024 and 2 more (5 updates tracked since 2022).

About Dr. Alexis Hernandez Bonilla Md NPPES

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

DR. ALEXIS HERNANDEZ BONILLA MD (NPI 1700518735) is an individual general practice provider in Dade City, Florida, licensed in Florida (ACN1449) and active in the NPI registry since June 2022. He is enrolled in Medicare PECOS and is a graduate of Other (2013).

NPPES Registry Identity

NPI1700518735
Entity TypeIndividualMale
Primary Taxonomy208D00000X
Provider Legal NameDR. ALEXIS HERNANDEZ BONILLACredential: MD
Location Address13438 FORT KING RDDade City, FL 33525-5214
Mailing Address601 S Harbour Island Blvd Ste 200Tampa, FL 33602-5925 · (727) 322-3439 · Fax (800) 928-7449
Phone(352) 567-5266
Fax(352) 567-3066
Sole ProprietorYes
Medical School CMSOtherGraduated 2013
Enumeration DateJune 28, 2022
Last NPPES UpdateOctober 2, 20255 updates tracked since enumeration
NPPES CertifiedOctober 2, 2025
✔ NPI 1700518735 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
Licenses✔ Licensed in FL · ACN1449✔ Licensed in PR · 22808
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
13438 FORT KING RD, Dade City, FL 33525
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter of Alabama.Insurance ›

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

Dr. Alexis Hernandez Bonilla Md 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 ID5092196931
PECOS Enrollment IDI20220722002259
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.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
30 services20 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
14 services14 patients

Other Providers at the Same Location NPPES 3

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

DR. TATIANA NATALIE HERNANDEZ CABRERA MD
General Practice
13438 FORT KING RD
DADE CITY, FL 33525
Pasco County (352) 567-5266
DR. HECTOR ESTEBAN GUEVARA-GARAY M.D.
Internal Medicine
13438 FORT KING RD
DADE CITY, FL 33525
Pasco County (352) 567-5266
DR. WILLIAM JOE STAMPER M.D.
Family Medicine
13438 FORT KING RD
DADE CITY, FL 33525
Pasco County (352) 567-5266

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 Alexis Hernandez Bonilla's NPI number?

The NPI number for Alexis Hernandez Bonilla is 1700518735. It was assigned to this individual provider in the NPPES registry on June 28, 2022.

Where is Alexis Hernandez Bonilla located?

Alexis Hernandez Bonilla practices at 13438 Fort King Rd, Dade City, FL 33525. The listed phone number is (352) 567-5266.

What is Alexis Hernandez Bonilla's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is Alexis Hernandez Bonilla enrolled in Medicare?

Yes. Alexis Hernandez Bonilla 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.

What insurance does Alexis Hernandez Bonilla accept?

Health plans from Ambetter Health and Ambetter of Alabama list Alexis Hernandez Bonilla 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 Alexis Hernandez Bonilla was last updated on October 2, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.