ANNETTE M BONGERS FNP
NPI 1790067791
Nurse Practitioner - Family in Knoxville, TN
About Annette M Bongers Fnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ANNETTE M BONGERS FNP (NPI 1790067791) is an individual family provider in Knoxville, Tennessee, licensed in Oregon (202113856NP-PP) and active in the NPI registry since September 2011. She is enrolled in Medicare PECOS and maintains a secondary practice location in Newport.
NPPES Registry Identity
Specialties & Licenses
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 (PECOS)
Annette M Bongers Fnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
3Medicare enrollment records show Annette Bongers reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Sweet Home, OR 97386
- Reassigned Medicare billing, Oregon enrollment
- 416 clinicians in this Medicare group
Toledo, OR 97391
- Reassigned Medicare billing, Oregon enrollment
- 332 clinicians in this Medicare group
Lincoln City, OR 97367
- Reassigned Medicare billing, Oregon enrollment
- 277 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 37917 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Reported Quality Measures
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
KNOXVILLE, TN 37917
KNOXVILLE, TN 37917
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 Annette Bongers's NPI number?
The NPI number for Annette Bongers is 1790067791. It was assigned to this individual provider in the NPPES registry on September 15, 2011.
Where is Annette Bongers located?
Annette Bongers practices at 900 E Oak Hill Ave, Knoxville, TN 37917. The listed phone number is (865) 545-7761.
What is Annette Bongers's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Annette Bongers enrolled in Medicare?
Yes. Annette Bongers is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Annette Bongers's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Annette Bongers reassigns Medicare benefits to 3 organizations: Mid-Valley Healthcare, Inc. (Sweet Home, OR), Samaritan Pacific Health Services, Inc. (Toledo, OR) and Samaritan North Lincoln Hospital (Lincoln City, OR). 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 Annette Bongers's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Annette Bongers accept?
Health plans from Providence Health Plan list Annette Bongers 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 Annette Bongers was last updated on February 22, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Annette M Bongers, FNP · NPI 1790067791
Family physician in Knoxville, Tennessee. Individual provider, active in the CMS NPPES registry since September 15, 2011.
## Identity
- **NPI:** 1790067791 (Entity type: Individual)
- **Enumerated:** September 15, 2011
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 202113856NP-PP (Oregon)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 900 E OAK HILL AVE, Knoxville, TN 37917-4505
- **Phone:** (865) 545-7761
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Mid-Valley Healthcare, Inc. (NPI 1528334125, Sweet Home, OR); Samaritan Pacific Health Services, Inc. (NPI 1568543692, Toledo, OR); Samaritan North Lincoln Hospital (NPI 1306897491, Lincoln City, OR) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** February 22, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1790067791) · Data from the CMS NPPES public registry.