Active NPI
Nancy Bogdanovic, FNP-C
- Family Nurse Practitioner
- Conroe, TX
National Provider Identifier
1669986840
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 95008020
- Practice address
- 3421 W Davis St Ste 150
Conroe, TX 77304-1848 - Phone
- (936) 339-2373
- Fax
- (936) 249-0318
- NPI assigned
- Nov 26, 2017
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 10
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 600435 | CA | |
| Administrator Registered Nurse | 163WA2000X | 600435 | CA | |
| Community Health Registered Nurse | 163WC1500X | 600435 | CA | |
| Hospice Registered Nurse | 163WH1000X | 600435 | CA | |
| Community Based Hospice Care Agency | 251G00000X | |||
| Acute Care Nurse Practitioner | 363LA2100X | 95008020 | CA | |
| Adult Health Nurse Practitioner | 363LA2200X | 95008020 | CA | |
| Community Health Nurse Practitioner | 363LC1500X | 95008020 | CA | |
| Primary Care Nurse Practitioner | 363LP2300X | 95008020 | CA | |
| Family Nurse Practitioner | 363LF0000X | 95008020 | CA | Primary |
Addresses
Primary practice location
3421 W Davis St Ste 150
Conroe, TX 77304-1848
Mailing address
2605 Woods Estates Dr
Conroe, TX 77304-4873
Phone (310) 987-0862
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 600435 | CA | MD | Hospice Registered Nurse |
| 95008020 | CA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Samson Healthcare, LLC | Hospice | Current | Accepting new patients |
| La Vida Hospice, Inc. | Hospice Care, Community Based | Past | Accepting new patients |
Locations
3421 W Davis St
Ste 150
Conroe, TX 77304
Phone (936) 339-2373
Organizations & group practices 2
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.
-
dba Saint Peter's Hospice
- Community Based Hospice Care Agency
- Conroe, TX
- NPI 1083428304
-
- Community Based Hospice Care Agency
- San Pedro, CA
- NPI 1336663251
Hospice Care, Community Based
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1511654400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1744848000000",
"number": "1669986840",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2605 WOODS ESTATES DR",
"city": "CONROE",
"state": "TX",
"postal_code": "773044873",
"telephone_number": "310-987-0862"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3421 W DAVIS ST STE 150",
"city": "CONROE",
"state": "TX",
"postal_code": "773041848",
"telephone_number": "936-339-2373",
"fax_number": "936-249-0318"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOGDANOVIC",
"first_name": "NANCY",
"name_prefix": "Mrs.",
"credential": "FNP-C",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-11-26",
"last_updated": "2025-04-17",
"certification_date": "2025-04-17",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "CA",
"license": "600435",
"primary": false
},
{
"code": "163WA2000X",
"taxonomy_group": "",
"desc": "Registered Nurse, Administrator",
"state": "CA",
"license": "600435",
"primary": false
},
{
"code": "163WC1500X",
"taxonomy_group": "",
"desc": "Registered Nurse, Community Health",
"state": "CA",
"license": "600435",
"primary": false
},
{
"code": "163WH1000X",
"taxonomy_group": "",
"desc": "Registered Nurse, Hospice",
"state": "CA",
"license": "600435",
"primary": false
},
{
"code": "251G00000X",
"taxonomy_group": "",
"desc": "Hospice Care, Community Based",
"state": null,
"license": null,
"primary": false
},
{
"code": "363LA2100X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Acute Care",
"state": "CA",
"license": "95008020",
"primary": false
},
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "CA",
"license": "95008020",
"primary": false
},
{
"code": "363LC1500X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Community Health",
"state": "CA",
"license": "95008020",
"primary": false
},
{
"code": "363LP2300X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Primary Care",
"state": "CA",
"license": "95008020",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "CA",
"license": "95008020",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Conroe, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2025; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.