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DR. SHAUNTELLE DENE BONMAN D.O.
NPI 1811272719
Family Medicine in Allen, TX

Active since October 12, 2011PECOS Enrolled
101C N GREENVILLE AVE # 616, ALLEN, TX 75002(972) 478-0696(844) 296-5471 Get Directions Write a Review

NPPES record last updated: November 4, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Nov 4, 2020, Oct 1, 2019, Jul 22, 2019 (3 updates tracked since 2019).

About Dr. Shauntelle Dene Bonman D.o. NPPES

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

DR. SHAUNTELLE DENE BONMAN D.O. (NPI 1811272719) is an individual family medicine provider in Allen, Texas, licensed in California (20A11751) and active in the NPI registry since October 2011. She is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1811272719
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameDR. SHAUNTELLE DENE BONMANCredential: D.O.
Location Address101C N GREENVILLE AVE # 616Allen, TX 75002-2235
Mailing Address101c N Greenville Ave # 616Allen, TX 75002-2235 · (972) 478-0696 · Fax (844) 296-5471
Phone(972) 478-0696
Fax(844) 296-5471
Sole ProprietorYes
Enumeration DateOctober 12, 2011
Last NPPES UpdateNovember 4, 20203 updates tracked since enumeration
NPPES CertifiedNovember 4, 2020
✔ NPI 1811272719 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses✔ Licensed in CA · 20A11751✔ Licensed in TX · R4191
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
101C N GREENVILLE AVE # 616, Allen, TX 75002
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Secondary Practice Locations 2

Location 11400 S Grand AveLos Angeles, CA 90015-3048 · Phone (213) 307-2037
Location 23000 Custer Rd # 270-7004Plano, TX 75075 · Phone (972) 478-0696 · Fax (844) 296-5471

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Molina Healthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Shauntelle Dene Bonman D.o. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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

2

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

Lonestar Hospital Medicine Associates, PA
44 mi
Hospitalist
2700 E BROAD ST
Mansfield, TX 76063
  • Reassigned Medicare billing, Texas enrollment
  • 994 clinicians in this Medicare group
NPI 1518237429 (682) 622-2000
County Of Los Angeles
1,216 mi
Public Health, State or Local
750 S PARK AVE
Pomona, CA 91766
  • Reassigned Medicare billing, California enrollment
  • 1,939 clinicians in this Medicare group
NPI 1649464496 (909) 868-0235

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 75002 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
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
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.

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

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
87%55 patients4/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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 Shauntelle Bonman's NPI number?

The NPI number for Shauntelle Bonman is 1811272719. It was assigned to this individual provider in the NPPES registry on October 12, 2011.

Where is Shauntelle Bonman located?

Shauntelle Bonman practices at 101C N Greenville Ave # 616, Allen, TX 75002. The listed phone number is (972) 478-0696.

What is Shauntelle Bonman's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Shauntelle Bonman enrolled in Medicare?

Yes. Shauntelle Bonman is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Shauntelle Bonman's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Shauntelle Bonman reassigns Medicare benefits to 2 organizations: Lonestar Hospital Medicine Associates, PA (Mansfield, TX) and County Of Los Angeles (Pomona, CA). 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 Shauntelle Bonman's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Shauntelle Bonman accept?

Health plans from Molina Healthcare list Shauntelle Bonman 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 Shauntelle Bonman was last updated on November 4, 2020. 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.