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YADARIS RACHELLE BONILLA
NPI 1780462838
Physician Assistant in Grapevine, TX

Active since September 19, 2023PECOS EnrolledAccepts Medicare Assignment
1600 W NORTHWEST HWY STE 100, GRAPEVINE, TX 76051(817) 912-0442 Get Directions Write a Review

NPPES record last updated: May 27, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 27, 2025, May 9, 2024 (2 updates tracked since 2024).

About Yadaris Rachelle Bonilla NPPES

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

YADARIS RACHELLE BONILLA (NPI 1780462838) is an individual physician assistant in Grapevine, Texas, licensed in Texas (PA17543) and active in the NPI registry since September 2023. She is enrolled in Medicare PECOS, maintains a secondary practice location in Dallas, and is a graduate of Other (2023).

NPPES Registry Identity

NPI1780462838
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameYADARIS RACHELLE BONILLA
Location Address1600 W NORTHWEST HWY STE 100Grapevine, TX 76051-8131
Mailing Address6011 Harry Hines BlvdDallas, TX 75235-5386 · (214) 648-1500
Phone(817) 912-0442
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateSeptember 19, 2023
Last NPPES UpdateMay 27, 20252 updates tracked since enumeration
NPPES CertifiedMay 27, 2025
✔ NPI 1780462838 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in TX · PA17543
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
1600 W NORTHWEST HWY STE 100, Grapevine, TX 76051
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Secondary Practice Location 1

Location 16011 Harry Hines BlvdDallas, TX 75235-5386 · Phone (214) 648-1500

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.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

Yadaris Rachelle Bonilla 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 ID4688014343
PECOS Enrollment IDI20240429000191
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 76051 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
$70.45 typical visit price
range $18.18 – $139.68
Typical copayment $17.61 (range $4.54 – $34.92)
Most-billed visit code 99213
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 3

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

DORCAS GONZALEZ ANDUJAR M.D.
Family Medicine
1600 W NORTHWEST HWY STE 100
GRAPEVINE, TX 76051
Tarrant County (817) 912-0442
ALYSSA CARYN REAMS PA-C
Physician Assistant
1600 W NORTHWEST HWY STE 100
GRAPEVINE, TX 76051
Tarrant County (817) 912-0442
DANIEL WILLIAM ELLIOTT M.D.
Family Medicine
1600 W NORTHWEST HWY STE 100
GRAPEVINE, TX 76051
Tarrant County (817) 912-0442

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 Yadaris Bonilla's NPI number?

The NPI number for Yadaris Bonilla is 1780462838. It was assigned to this individual provider in the NPPES registry on September 19, 2023.

Where is Yadaris Bonilla located?

Yadaris Bonilla practices at 1600 W Northwest Hwy Ste 100, Grapevine, TX 76051. The listed phone number is (817) 912-0442.

What is Yadaris Bonilla's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Yadaris Bonilla enrolled in Medicare?

Yes. Yadaris 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 Yadaris Bonilla accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 1 other insurer list Yadaris 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 Yadaris Bonilla was last updated on May 27, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.