DEREK C BONN NP
NPI 1720555097
Nurse Practitioner in League City, TX

Q: What is Derek Bonn's NPI number?

The NPI number for Derek Bonn is 1720555097. It was assigned to this individual provider in the NPPES registry on October 25, 2018.

Q: What is Derek Bonn'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 Derek Bonn was last updated on April 30, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years 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 October 25, 2018PECOS EnrolledAccepts Medicare Assignment

2560 E LEAGUE CITY PKWY, LEAGUE CITY, TX 77573(281) 783-8162(713) 439-7995 Get Directions Write a Review

NPPES record last updated: April 30, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Apr 30, 2021, May 7, 2019, Oct 25, 2018 (3 updates tracked since 2018).

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About Derek C Bonn Np NPPES

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

DEREK C BONN NP (NPI 1720555097) is an individual nurse practitioner in League City, Texas, licensed in Texas (AP139481) and active in the NPI registry since October 2018. He is enrolled in Medicare PECOS, maintains a secondary practice location in Alvin, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1720555097

Entity TypeIndividualMale

Primary Taxonomy363L00000X

Provider Legal NameDEREK C BONNCredential: NP

Location Address2560 E LEAGUE CITY PKWYLeague City, TX 77573-6459

Mailing Address16107 Kensington Dr Ste 126Sugar Land, TX 77479-4224 · (281) 336-0552 · Fax (281) 336-0552

Phone(281) 783-8162

Fax(713) 439-7995

Sole ProprietorNo

Medical School CMSOtherGraduated 2017

Enumeration DateOctober 25, 2018

Last NPPES UpdateApril 30, 20213 updates tracked since enumeration

NPPES CertifiedApril 30, 2021

✔ NPI 1720555097 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in TX · AP139481

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.

Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License AP139481 (TX)

2560 E LEAGUE CITY PKWY, League City, TX 77573

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Secondary Practice Location 1

Location 11111 W Adoue StAlvin, TX 77511-2718 · Phone (281) 824-1480 ext. 1594 · Fax (281) 220-6407

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, Community First, Harbor Health and more.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

Derek C Bonn Np 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 ID8022356153

PECOS Enrollment IDI20190214001190

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 Derek Bonn reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Nluc PLLC

Same address

Urgent Care

2560 E LEAGUE CITY PKWY STE B
League City, TX 77573

Reassigned Medicare billing, Texas enrollment
379 clinicians in this Medicare group

NPI 1043814049 (281) 783-8162

Stephen F. Austin Community Health Center, Inc.

13 mi

Federally Qualified Health Center (FQHC)

1111 W. ADOUE STREET
Alvin, TX 77511

Reassigned Medicare billing, Texas enrollment
191 clinicians in this Medicare group

NPI 1578730818 (281) 824-1480

Next Level Mv LLC

19 mi

Urgent Care

8325 BROADWAY ST STE 220
Pearland, TX 77581

Reassigned Medicare billing, Texas enrollment
301 clinicians in this Medicare group

NPI 1013432285 (281) 201-0657

Ucp Physicians Of Central Texas, PLLC

176 mi

Urgent Care

900 N AUSTIN AVE, STE 105
Georgetown, TX 78626

Reassigned Medicare billing, Texas enrollment
241 clinicians in this Medicare group

NPI 1922289412 (512) 930-7828

Emergency Medicine Services Of Tx, PLLC

213 mi

Emergency Medicine

7700 FLOYD CURL DR
San Antonio, TX 78229

Reassigned Medicare billing, Texas enrollment
1,452 clinicians in this Medicare group

NPI 1245938729 (210) 575-4000

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 6

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.

66 services57 patients

Detection test by immunoassay with direct visual observation for influenza virus 87804

This is a test that identifies the influenza virus in your body. It works by using an immunoassay, a method that detects the presence of the virus through an immune response. The results are directly observable, making it a quick and efficient way to diagnose flu.

34 services17 patients

Detection test by immunoassay with direct visual observation for severe acute respiratory syndrome coronavirus 2 (covid-19) 87811

This is a test to detect COVID-19, the virus causing severe respiratory illness. It uses a method called immunoassay, which identifies the virus by its unique proteins. The test is directly observed for accuracy. It helps determine if you're currently infected.

29 services28 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

19 services19 patients

X-ray of chest, 2 views 71046

A chest X-ray, 2 views, is a quick, painless test that creates pictures of the structures inside your chest, such as your heart, lungs, and blood vessels. Two different angles are used to get a comprehensive view. This helps in diagnosing conditions like pneumonia, heart problems, or lung cancer.

13 services12 patients

Automated urinalysis test 81003

An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.

13 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77573 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

$88.24 typical visit price

range $57.19 – $173.07

Typical copayment $22.06 (range $14.29 – $43.26)

Most-billed visit code 99203

Established Patient

$100.90 typical visit price

range $18.45 – $141.36

Typical copayment $25.22 (range $4.61 – $35.34)

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

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

ANGELA WAGGONER FNP

Nurse Practitioner

2560 E LEAGUE CITY PKWY
LEAGUE CITY, TX 77573

Galveston County (281) 783-8162

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 Derek Bonn's NPI number?

The NPI number for Derek Bonn is 1720555097. It was assigned to this individual provider in the NPPES registry on October 25, 2018.

Where is Derek Bonn located?

Derek Bonn practices at 2560 E League City Pkwy, League City, TX 77573. The listed phone number is (281) 783-8162.

What is Derek Bonn's specialty?

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

Is Derek Bonn enrolled in Medicare?

Yes. Derek Bonn 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 Derek Bonn's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Derek Bonn reassigns Medicare benefits to 5 organizations: Nluc PLLC (League City, TX), Stephen F. Austin Community Health Center, Inc. (Alvin, TX), Next Level Mv LLC (Pearland, TX), Ucp Physicians Of Central Texas, PLLC (Georgetown, TX) and Emergency Medicine Services Of Tx, PLLC (San Antonio, 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 Derek Bonn's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Derek Bonn accept?

Health plans from Blue Cross and Blue Shield of Texas, Community First, Harbor Health and UnitedHealthcare list Derek Bonn 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 Derek Bonn was last updated on April 30, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years 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.