Susan R. Bond, RN, FNP
Individual provider Active NPI Family Nurse Practitioner · Groesbeck, TX
NPI 1790772606 · NPPES record last updated May 16, 2019
Key facts
- NPI
- 1790772606
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 449415 (TX)
- Practice address
- 104 S Dr J B Riggs Dr
Groesbeck, TX 76642-1703 - Phone
- (254) 729-3356
- Fax
- (254) 729-3489
- NPI assigned
- Oct 5, 2005
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 4
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20090324000659 | TX | Practitioner - Nurse Practitioner | 1850458522 |
Reassigns benefits to 1 organization Practice locations: Groesbeck, TX |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 449415 | TX | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mexia Principal Healthcare Limited Partnership | Current |
Accepting new patients | |
| Mexia Principal Healthcare Limited Partnership | Current |
Accepting new patients | |
| Mexia Principal Healthcare Limited Partnership | Past | Accepting new patients | |
| Bond Family Health Clinic | Past |
Accepting new patients |
Locations
330 Seven Springs Way
Brentwood, TN 37027
Phone (615) 920-7780
104 S Dr J B Riggs Dr
Groesbeck, TX 76642
Phone (254) 729-3356
514 S Bonham St
Mexia, TX 76667
Phone (254) 562-9321
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 449415 | TX | Yes |
Addresses
Primary practice location
104 S Dr J B Riggs Dr
Groesbeck, TX 76642-1703
Mailing address
330 Seven Springs Way
Brentwood, TN 37027-5098
Phone (615) 920-7000
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 159000201 | Medicaid | TX | |
| NP7003 | Other | TX | BLUE CROSS BLUE SHEILD |
| 159000202 | Medicaid | TX | |
| A00274262691776 | Other | TX | TRICARE SOUTH REGION |
| C22632 | Other | TX | CHOICECARE HUMANA |
| 108864100 | Other | TX | FIRSTCARE |
| 111447201 | Medicaid | TX |
Other providers in Groesbeck, TX
- Mackenzie Adams
- Joselyn Anglin
- Azuris Dialysis - Limestone County
- Wendi Barham
- Bond Family Health Clinic
- Monica Carrell
- Linda Dianne Chambers
- Charity Therapy LLC
- Chiglo Chiropractic PLLC
- Christopher Ty Chiglo
All providers in Groesbeck, TX · Family Nurse Practitioner in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 16, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.