Individual provider Active NPI

Bonnie Thomson, FNP

  • Family Nurse Practitioner
  • Cedar Park, TX
National Provider Identifier
1013754571
Registry record updated Jul 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1168769 Issued in TX
Practice address
3620 E Whitestone Blvd
Cedar Park, TX 78613-7441
Phone
(512) 260-2732
NPI assigned
Jul 11, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 1168769 TX Primary

Addresses

Primary practice location

3620 E Whitestone Blvd
Cedar Park, TX 78613-7441

Mailing address

13005 Titus CT
Austin, TX 78732-2164
Phone (512) 633-7754

Other practice location 1

5012 Ranch Road 620 N
Austin, TX 78732-1846
Phone (512) 851-1011

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260114000783 TX Practitioner - Nurse Practitioner 3779069372 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

103 N Sumac LN
Georgetown, TX 78633-4146

PO Box
Suite 1747
Cedar Park, TX 78630

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
1168769TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Round Rock Outpatient Care PLLC CurrentSince Oct 3, 2025 Accepting new patients

Locations

1860 S Lakeline Blvd
Cedar Park, TX 78613
Phone (512) 506-8503

3620 E Whitestone Blvd
Cedar Park, TX 78613
Phone (512) 260-2732

3600 E Palm Valley Blvd
Ste 3
Round Rock, TX 78665

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1720656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721347200000",
    "number": "1013754571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13005 TITUS CT",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787322164",
            "telephone_number": "512-633-7754"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3620 E WHITESTONE BLVD",
            "city": "CEDAR PARK",
            "state": "TX",
            "postal_code": "786137441",
            "telephone_number": "512-260-2732"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5012 Ranch Road 620 N",
            "address_purpose": "LOCATION",
            "city": "Austin",
            "state": "TX",
            "postal_code": "787321846",
            "country_code": "US",
            "telephone_number": "512-851-1011",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THOMSON",
        "first_name": "BONNIE",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-07-11",
        "last_updated": "2024-07-19",
        "certification_date": "2024-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1168769",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cedar Park, TX

Sources for this page

Verify at the official NPI Registry.