Individual provider Active NPI

Lynda Elizabeth Bockmon, ANP-BC, ACNP-BC

  • Adult Health Nurse Practitioner
  • Mount Pleasant, TX
National Provider Identifier
1609089481
Registry record updated Apr 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
AP114362 Issued in TX
Practice address
2101 Mulberry Ave
Mount Pleasant, TX 75455-1105
Phone
(903) 434-4850
Fax
(903) 434-4899
NPI assigned
May 8, 2007
Last updated
Apr 27, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X AP114362 TX Primary

Addresses

Primary practice location

2101 Mulberry Ave
Mount Pleasant, TX 75455-1105

Mailing address

1040 S Fleishel Ave
Tyler, TX 75701-2031
Phone (903) 533-8702

Other practice location 1

1040 S Fleishel Ave
Tyler, TX 75701-2031
Phone (903) 533-8702

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
I20071119000065 TX Practitioner - Nurse Practitioner 5092761718 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Titus County Hospital DistrictGroup PAC ID 0143203257, 107 clinicians

Practice addresses (Care Compare)

2101 Mulberry Ave
Mount Pleasant, TX 75455-1105
Phone (903) 434-4850

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Titus County Hospital District CurrentSince Nov 15, 2024 Accepting new patients
Titus County Hospital District CurrentSince Nov 15, 2024 Accepting new patients
Mark Robbins MD PA CurrentSince Oct 7, 2022 Accepting new patients
Surgical Associates of Western Ny PC Past Accepting new patients
Sra Medical Imaging LLC Past Accepting new patients

Locations

2001 N Jefferson Ave
Ste 130
Mount Pleasant, TX 75455
Phone (903) 434-4826

2001 N Jefferson Ave
Mt Pleasant, TX 75455
Phone (903) 434-8044

2101 Mulberry Ave
Mt Pleasant, TX 75455
Phone (903) 434-4850

1002 N Mound St
Nacogdoches, TX 75961
Phone (936) 560-3800

1204 N Mound St
Nacogdoches, TX 75961
Phone (936) 564-4611

1000 S Beckham Ave
Tyler, TX 75701
Phone (903) 526-1068

1040 S Fleishel Ave
Tyler, TX 75701
Phone (903) 533-8702

1100 E Lake St
Ste 150
Tyler, TX 75701
Phone (903) 593-0230

1100 E Lake St
Ste 230
Tyler, TX 75701
Phone (903) 539-0230

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/457/brand/1/csg/1/fhir/r4
  • Direct secure messaging: lbockman470174@ahs.direct-ci.com

Organizations & group practices 6

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

Hospital & facility affiliations 2

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

NPI Registry JSON

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

{
    "created_epoch": "1178582400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777248000000",
    "number": "1609089481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1040 S FLEISHEL AVE",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757012031",
            "telephone_number": "903-533-8702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2101 MULBERRY AVE",
            "city": "MOUNT PLEASANT",
            "state": "TX",
            "postal_code": "754551105",
            "telephone_number": "903-434-4850",
            "fax_number": "903-434-4899"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1040 S Fleishel Ave",
            "address_purpose": "LOCATION",
            "city": "Tyler",
            "state": "TX",
            "postal_code": "757012031",
            "country_code": "US",
            "telephone_number": "903-533-8702",
            "fax_number": "903-533-8720",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOCKMON",
        "first_name": "LYNDA",
        "middle_name": "ELIZABETH",
        "name_prefix": "Mrs.",
        "credential": "ANP-BC, ACNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-08",
        "last_updated": "2026-04-27",
        "certification_date": "2026-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "TX",
            "license": "AP114362",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Pleasant, TX

Sources for this page

Verify at the official NPI Registry.