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

Q: 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.

Q: What is Alexis Hernandez Bonilla's specialty?

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

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: November 01, 2026.

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

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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, UnitedHealthcare.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

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.

Medicare Billing Reassignments

Medicare enrollment records show Alexis Hernandez Bonilla reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Advanced Internal Medicine Care, PA

30 mi

Internal Medicine

5455 S FLORIDA AVE
Lakeland, FL 33813

Reassigned Medicare billing, Florida enrollment
17 clinicians in this Medicare group

NPI 1811130339 (863) 644-3585

Florida Medical Associates LLC

44 mi

Primary Care

13940 N US HIGHWAY 441 STE 102
Lady Lake, FL 32159

Reassigned Medicare billing, Florida enrollment
177 clinicians in this Medicare group

NPI 1336153709 (352) 751-9900

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

Which organizations bill Medicare for Alexis Hernandez Bonilla's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Alexis Hernandez Bonilla reassigns Medicare benefits to 2 organizations: Advanced Internal Medicine Care, PA (Lakeland, FL) and Florida Medical Associates LLC (Lady Lake, FL). 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 Alexis Hernandez Bonilla's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Alexis Hernandez Bonilla accept?

Health plans from Ambetter Health, Ambetter of Alabama and UnitedHealthcare 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 13 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.