Annie Bomer, APRN

Key facts

NPI

1497330617

Entity type

Individual (NPI type 1)

Primary specialty

Nurse Practitioner 363L00000X

License

1030922 (TX)

Practice address

3200 Greenlawn Blvd Ste 160
Round Rock, TX 78664-7591

Phone

(281) 783-8162

NPI assigned

Mar 10, 2021

Sex

Female

Sole proprietor

No

Organizations & group practices 11

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.

• TMC Provider Group PLLC Urgent Care Clinic/Center · San Antonio, TX · NPI 1053784660
  Medicare reassignment Care Compare group NPD TX
• Curana Health Medical Group LLC Internal Medicine Physician · Austin, TX · NPI 1255640678
  Medicare reassignment NPD NURSE PRACTITIONER · TX
• Nluc PLLC Urgent Care Clinic/Center · Houston, TX · NPI 1518209113
  Medicare reassignment NPD TX
• Regional Physician Services of Texas, P.a. Nurse Practitioner · Abilene, TX · NPI 1043529944
  Medicare reassignment TX
• TMC Provider Group PLLC Urgent Care Clinic/Center · San Antonio, TX · NPI 1851756654
  Care Compare group
• TMC Provider Group, PLLC Urgent Care Clinic/Center · Spring Branch, TX · NPI 1306325618
  Care Compare group
• TMC Provider Group, PLLC Urgent Care Clinic/Center · New Braunfels, TX · NPI 1952820599
  Care Compare group
• Nluc PLLC Urgent Care Clinic/Center · League City, TX · NPI 1043814049
  NPD
• Nluc PLLC Dba Next Level Urgent Care Urgent Care Clinic/Center · Houston, TX · NPI 1316381114
  NPD
• TMC Provider Group PLLC Urgent Care Clinic/Center · San Antonio, TX · NPI 1033968789
  NPD
• TMC Provider Group PLLC Urgent Care Clinic/Center · Austin, TX · NPI 1649635442
  NPD

Medicare Care Compare profile

Specialty

Nurse Practitioner

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

TMC Provider Group PLLC (213 clinicians)

Practice addresses (Care Compare)

Medicare participation

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No

Medicare enrollment records

National Provider Directory

Medicare enrollment (NPD)

Yes

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Specialties & licenses

Addresses

Electronic endpoints

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Nov 1, 2022.

{
    "created_epoch": "1615334400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667260800000",
    "number": "1497330617",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2925 BRIARPARK DR STE 575",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770423776"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3200 GREENLAWN BLVD STE 160",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786647591",
            "telephone_number": "281-783-8162"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13124 Amarillo Ave # A",
            "address_purpose": "LOCATION",
            "city": "Austin",
            "state": "TX",
            "postal_code": "787297541",
            "country_code": "US",
            "telephone_number": "512-350-1969",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOMER",
        "first_name": "ANNIE",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-10",
        "last_updated": "2022-11-01",
        "certification_date": "2022-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1030922",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "1030922",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Austin",
            "affiliation": "N",
            "address_1": "13124 Amarillo Ave # A",
            "city": "Austin",
            "state": "TX",
            "country_code": "US",
            "postal_code": "787297541",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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All providers in Round Rock, TX · Nurse Practitioner in Texas