Deonna Michelle Bynum, FNP
Individual provider Active NPI Nurse Practitioner · Palestine, TX
NPI 1821428640 · NPPES record last updated Nov 14, 2013
Key facts
- NPI
- 1821428640
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nurse Practitioner 363L00000X
- License
- 766930 (TX)
- Practice address
- 126 Medical Drive
Suite B
Palestine, TX 75801 - Phone
- (903) 729-2428
- NPI assigned
- Nov 14, 2013
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 11
Hospital & facility affiliations 3
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Small Hospital Innovations LLC
Fairfield Hospital District
Southern Physician Group Management LLC
Practice addresses (Care Compare)
1011 N Galloway Ave
Mesquite, TX 75149-2433
Phone (214) 320-7000
144 Humphreys St
Buffalo, TX 75831-7555
Phone (903) 480-0041
3333 N Foster Maldonado Blvd
Eagle Pass, TX 78852-5893
Phone (830) 773-5321
704 Hospital Dr
Carrizo SPGS, TX 78834-3836
Phone (830) 876-2424
Hospital & facility affiliations
- Freestone Medical Center
- Sabine County Hospital
- Dimmit Regional Hospital
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 |
|---|---|---|---|---|
| I20140317000626 | TX | Practitioner - Nurse Practitioner | 4385875343 | Reassigns benefits to 8 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 766930 | TX | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fairfield Hospital District | Current |
Accepting new patients | |
| Small Hospital Innovations LLC | Current |
Accepting new patients | |
| Dimmit Regional Hospital | Current |
Accepting new patients | |
| Angelina Emergency Medicine Associates PA | Nurse Practitioner | Current |
Accepting new patients |
| Dimmit Regional Hospital | Current | Accepting new patients | |
| Dimmit Regional Hospital | Current |
Accepting new patients | |
| Fairfield Hospital District | Current |
Accepting new patients | |
| Southern Physician Group Management LLC | Current |
Accepting new patients | |
| Apogee Medical Group Texas PA | Current |
Accepting new patients | |
| Victoria Emergency Associates LLC | Current |
Accepting new patients |
Locations
704 Hospital Dr
Carrizo Springs, TX 78834
Phone (830) 876-2424
201 Walls Dr
Cleburne, TX 76033
Phone (817) 556-5587
1313 Veterans Ave
Ste A
Crystal City, TX 78839
Phone (830) 374-9823
3333 N Foster Maldonado Blvd
Eagle Pass, TX 78852
Phone (830) 733-5321
734 W Commerce St
Fairfield, TX 75840
Phone (903) 389-1681
125 Newman St
Fairfield, TX 75840
Phone (888) 250-2326
7 Medical Pkwy
Farmers Brnch, TX 75234
Phone (972) 247-1000
5501 S Expressway 77
Harlingen, TX 78550
Phone (936) 569-9481
505 S John Redditt Dr
Lufkin, TX 75904
Phone (713) 512-1200
1011 N Galloway Ave
Mesquite, TX 75149
Phone (214) 320-7000
604 Main St
Teague, TX 75860
Phone (903) 389-2181
506 E San Antonio St
Victoria, TX 77901
Phone (361) 575-1445
Interoperability endpoints
- https://fhir-myrecord.cerner.com/r4/bfa557fc-696e-49f4-8d78-7cdfe1e82721/
- https://fhir-usa.unify.chbase.com/org/dimmit-a3ff579f
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 766930 | TX | Yes |
Addresses
Primary practice location
126 Medical Drive
Suite B
Palestine, TX 75801
Mailing address
126 Medical Drive
Suite B
Palestine, TX 75801
Phone (903) 729-2428
Other names
- Mrs. Deonna Michelle Chapman
Other providers in Palestine, TX
- Clinton Ray Brunson
- Candice M Buckles
- Natalie Karen Burks
- Crystal Kay Burleson
- David Butcher
- Stephanie Byrd
- Ashley Louise Camacho
- Camp & Stevener, Inc
- Anna Cao
- Emery Leonard Capt
All providers in Palestine, TX · 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 Nov 14, 2013. 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).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.