Eddie Amos Bonner II, NP
NPI 1396045241ActiveIndividual· Nurse Practitioner· San Angelo, TX
Nurse Practitioner (NP) with Shannon Clinic, practicing in San Angelo, Texas. 151 Medicare patients in 2024, $11,342 paid; nearly all of their 108 Part D prescriptions were generic (97%). Lists Shannon Medical Center as a hospital affiliation.
Overview
| NPI | 1396045241 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | NP |
| Sole proprietor | No |
| NPI issued | Oct 26, 2010 |
| Last updated in NPPES | Jun 17, 2011 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner Primary | 363L00000X | 680179 | TX |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Nurse Practitioner (TX) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 151 |
|---|---|
| Services billed | 180 across 17 procedure codes |
| Paid by Medicare | $11,342 |
Part D prescriptions in 2024
| Prescriptions (claims) | 108 · 110 30-day fills |
|---|---|
| Patients | 87 |
| Total drug cost | $626.57 |
| Generic share | 97% of claims |
Education and affiliations
| Graduation year | 2010 |
|---|---|
| Medicare specialty | Nurse Practitioner |
Medical group
- Shannon ClinicSan Angelo, TX · 559 clinicians
Hospital affiliation
- Shannon Medical CenterSan Angelo, TX
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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