RIDER BUENO
NPI 1972155935
Nurse Practitioner - Family in Dickinson, TX

Active since July 10, 2019PECOS EnrolledAccepts Medicare Assignment
4913 FM 517 RD E, DICKINSON, TX 77539(832) 340-5951(832) 340-7786 Get Directions Write a Review

NPPES record last updated: September 2, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 2, 2022, Apr 4, 2022, Jul 10, 2019 (3 updates tracked since 2019).

About Rider Bueno NPPES

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

RIDER BUENO (NPI 1972155935) is an individual family provider in Dickinson, Texas, licensed in Texas (1074259) and active in the NPI registry since July 2019. He is enrolled in Medicare PECOS, maintains a secondary practice location in Houston, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1972155935
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameRIDER BUENO
Location Address4913 FM 517 RD EDickinson, TX 77539-6094
Mailing Address4913 Fm 517 Rd EDickinson, TX 77539-6094 · (832) 340-7951 · Fax (832) 340-7786
Fax(832) 340-7786
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateJuly 10, 2019
Last NPPES UpdateSeptember 2, 20223 updates tracked since enumeration
NPPES CertifiedSeptember 2, 2022
NPI 1972155935 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in TX · 1074259
Also ListedRegistered NurseTaxonomy 163W00000X · License 971397 (TX)
4913 FM 517 RD E, Dickinson, TX 77539

Other Names 1

Former Name (1)Rider Omar Bueno Fonseca

Secondary Practice Location 1

Location 18630 Easton Commons Dr Apt 405Houston, TX 77095-3022 · Phone (786) 402-3432

Accepted 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

Rider Bueno 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 ID2466839352
PECOS Enrollment IDI20220516000186
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 77539 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.

Nurse Practitioner (Primary Care)
4913 FM 517 RD E
DICKINSON, TX 77539

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 Rider Bueno's NPI number?

The NPI number for Rider Bueno is 1972155935. It was assigned to this individual provider in the NPPES registry on July 10, 2019. The provider is also known as Rider Omar Bueno Fonseca.

Where is Rider Bueno located?

Rider Bueno practices at 4913 Fm 517 Rd E, Dickinson, TX 77539. The listed phone number is (832) 340-5951.

What is Rider Bueno's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Rider Bueno enrolled in Medicare?

Yes. Rider Bueno 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 Rider Bueno 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 3 other insurers list Rider Bueno 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 Rider Bueno was last updated on September 2, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.