CONNIE ELA LUPE JOY BILLONES BONGAR (AGNP) – Primary Care Nurse Practitioner, NPI 1174997290

CONNIE ELA LUPE JOY BILLONES BONGAR (AGNP) is a healthcare provider. based in Grand junction, Colorado. specializing in NURSE PRACTITIONER. They hold the professional credentials AGNP. They hold a License No. APN.0991782 (CO). The NPI Number for CONNIE ELA LUPE JOY BILLONES BONGAR (AGNP) is 1174997290

Main info

Female
12 Years Of Experience
Accepts Medicare Assignment
Name
CONNIE ELA LUPE JOY BILLONES BONGAR (AGNP)
NPI
1174997290
Phone
(970) 298-6005
Address
2686 PATTERSON RD
Enumeration Date
1 December 2015
Last Update Date
4 January 2017

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2014 (12 years ago)
PAC ID
0042512527
Group Practice PAC ID
3779707856
Professional Enrollment ID
I20151230002168
Address ID
CO815018209GR2635XSTXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience48
Completeness75
Years active:10State licenses:2Digital endpointsOther names

5,201 NURSE PRACTITIONER in CO

Provider Addresses for CONNIE ELA LUPE JOY BILLONES BONGAR (AGNP)

  • 2686 PATTERSON RD

    SMMG PHYS MED & REHAB

    GRAND JUNCTION, CO 815068817

    Phone: (970) 298-6005

    Fax: (970) 298-7138

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2015-12-30

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20151230002168INurse PractitionerCOTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes8965$0
99238Hospital discharge day management, 30 minutes or less1414$0
View full utilization report →

Insurance plans in this area (ZIP 81506)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3779707856View full group profile
NameSpecialtyState
Nephrology, Internal MedicineCO
Internal MedicineTX
Nurse PractitionerCO
-CO
-CO
Cardiovascular Disease (Cardiology)VA
Physician AssistantCO
Physician AssistantWV
Internal MedicineNJ
-CO

Reviews

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Frequently asked questions

What federal number belongs to CONNIE ELA LUPE JOY BILLONES BONGAR (AGNP)?
The federal identifier for CONNIE ELA LUPE JOY BILLONES BONGAR (AGNP) is NPI 1174997290.
Is CONNIE ELA LUPE JOY BILLONES BONGAR (AGNP) active in the national directory?
CONNIE ELA LUPE JOY BILLONES BONGAR (AGNP)'s public NPI profile is in an active state.
What field does CONNIE ELA LUPE JOY BILLONES BONGAR (AGNP) work in?
You can think of CONNIE ELA LUPE JOY BILLONES BONGAR (AGNP) as practicing within Primary Care Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What location metadata exists for CONNIE ELA LUPE JOY BILLONES BONGAR (AGNP)?
The page summarizes Grand Junction, Colorado for CONNIE ELA LUPE JOY BILLONES BONGAR (AGNP); expand the address list for detail.
What if Grand Junction, Colorado seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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