Madison Bonvillion, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

AP137780 Issued in TX

Practice address

7675 Folsom Dr Ste 300B
Beaumont, TX 77706-7299

Phone

(409) 833-0342

NPI assigned

Jun 14, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Baptist Physician NetworkGroup PAC ID 0547333890, 121 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Home Care Elite LLC Home health agency, Nederland, TX, CCN 677964
• Baptist Beaumont Hospital Hospital, Beaumont, TX, CCN 450346
• Christus Southeast Texas- St Elizabeth Hospital, Beaumont, TX, CCN 450034

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Baptist Physician Network

  • Specialist
  • Beaumont, TX
  • NPI 1558485532

  TX

  Medicare reassignment Care Compare group NPD
• Broussard Family Practice, PLLC

  • Specialist
  • Beaumont, TX
  • NPI 1710320908

  Family, TX

  Medicare reassignment NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Baptist Hospitals of Southeast Texas

  • General Acute Care Hospital
  • Beaumont, TX
  • NPI 1093744187

  Hospital

  Care Compare affiliation
• Christus Health Southeast Texas

  • General Acute Care Hospital
  • Beaumont, TX
  • NPI 1679557888

  Hospital

  Care Compare affiliation
• Home Care Elite, LLC

  • Home Health Agency
  • Nederland, TX
  • NPI 1194826461
  Care Compare affiliation

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

{
    "created_epoch": "1528934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693267200000",
    "number": "1053805986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7855 JACKSON RD",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777065713",
            "telephone_number": "409-626-0524"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7675 FOLSOM DR STE 300B",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777067299",
            "telephone_number": "409-833-0342"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BONVILLION",
        "first_name": "MADISON",
        "name_prefix": "Mrs.",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-06-14",
        "last_updated": "2023-08-29",
        "certification_date": "2023-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TX",
            "license": "814952",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP137780",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Blue Shield Medical Supply
• Jessica Joanne Bobinger, OPAC
• Andrew Luis Bolano, MD
• Kathryn Keen Bommer
• Magan Fontenot Bonner, LPC ASSOCIATE
• Nancy Gail Boone, FNP
• John Walter Bordages Jr., PH.D.
• Sara Bordages, M.S. CCC-SLP
• Melissa Michelle Bordelon, RN, IBCLC
• Kinli Marie Borque

• All providers in Beaumont, TX
• Family Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.