Individual provider Active NPI

Bonnie Anderson, APRN FNP-C

  • Family Nurse Practitioner
  • Plano, TX
National Provider Identifier
1831818483
Registry record updated Oct 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
884415 Issued in TX
Practice address
5208 Tennyson Pkwy Ste 100
Plano, TX 75024-7183
Phone
(844) 464-1611
NPI assigned
Aug 25, 2022
Last updated
Oct 22, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 884415 TX Primary

Addresses

Primary practice location

5208 Tennyson Pkwy Ste 100
Plano, TX 75024-7183

Mailing address

218 Silvercreek Dr
Wylie, TX 75098-4865
Phone (717) 278-7574

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
I20230120002646 TX Practitioner - Nurse Practitioner 5294106647 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
DCS Medical PAGroup PAC ID 0042507600, 155 clinicians
Communitymed PLLCGroup PAC ID 9830315126, 46 clinicians

Practice addresses (Care Compare)

1115 E Tyler St
Integrity Urgent Care
Athens, TX 75751-2145
Phone (903) 292-5015

670 W Princeton Dr
Suite 400a
Princeton, TX 75407-9135
Phone (972) 699-5250

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
884415TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
DCS Medical PA CurrentSince Jun 18, 2025 Accepting new patients
Communitymed PCP CurrentSince Oct 20, 2022 Accepting new patients
DCS Medical PA CurrentSince Jun 18, 2025 Accepting new patients
Primary Health Physicians, PLLC CurrentSince Feb 1, 2026 Accepting new patients
Communitymed PLLC CurrentSince Oct 20, 2022 Accepting new patients
DCS Medical PA Past Accepting new patients

Locations

6320 US 287 Hwy
Ste 112
Arlington, TX 76001
Phone (817) 778-9883

1115 E Tyler St
Athens, TX 75751
Phone (903) 292-5015

3600 FM 407 E
Ste 220
Bartonville, TX 76226
Phone (940) 220-7510

3201 University Dr E
Ste 135
Bryan, TX 77802
Phone (979) 703-1832

11350 US Highway 380
Ste 100
Cross Roads, TX 76227
Phone (214) 296-2945

2310 W University Dr
#1500
Denton, TX 76201
Phone (940) 220-5901

2432 Avondale Haslet Rd
Ste 100
Haslet, TX 76052
Phone (682) 312-3969

295 FM 156 S
Ste 300
Haslet, TX 76052
Phone (817) 779-4382

104 S Main St
Keller, TX 76248
Phone (214) 295-9385

3020 E Broad St
Ste 100
Mansfield, TX 76063
Phone (682) 282-4014

2619 Sentinel Way
Ste 200
Melissa, TX 75454
Phone (469) 649-8905

3591 McKinney St
Ste 400A
Melissa, TX 75454
Phone (729) 464-1611

2410 FM 663
Midlothian, TX 76065
Phone (469) 965-9600

5208 Tennyson Pkwy
Ste 100
Plano, TX 75024
Phone (469) 802-7298

670 W Princeton Dr
Ste 400
Princeton, TX 75407
Phone (469) 500-5892

670 W Princeton Dr
Ste 400A
Princeton, TX 75407
Phone (972) 699-5250

1000 N Preston Rd
Ste 60
Prosper, TX 75078
Phone (469) 342-7010

2001 N Preston Rd
Ste 80
Prosper, TX 75078
Phone (469) 907-5012

377 W Campbell Rd
Ste 100
Richardson, TX 75080
Phone (469) 232-2945

3210 Midwestern Pkwy
Ste 500A
Wichita Falls, TX 76308
Phone (940) 488-4616

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.

NPI Registry JSON

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

{
    "created_epoch": "1661385600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666396800000",
    "number": "1831818483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "218 SILVERCREEK DR",
            "city": "WYLIE",
            "state": "TX",
            "postal_code": "750984865",
            "telephone_number": "717-278-7574"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5208 TENNYSON PKWY STE 100",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750247183",
            "telephone_number": "844-464-1611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "BONNIE",
        "credential": "APRN FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-25",
        "last_updated": "2022-10-22",
        "certification_date": "2022-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "884415",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plano, TX

Sources for this page

Verify at the official NPI Registry.