BONNIE STIFFLER (FNP-C) – Family Nurse Practitioner, NPI 1164103941

BONNIE STIFFLER (FNP-C) is a healthcare provider. based in Colleyville, Texas. specializing in NURSE PRACTITIONER. They hold the professional credentials FNP-C. They hold a License No. 1126949 (TX). The NPI Number for BONNIE STIFFLER (FNP-C) is 1164103941

Main info

Female
4 Years Of Experience
Accepts Medicare Assignment
Name
BONNIE STIFFLER (FNP-C)
NPI
1164103941
Phone
(817) 590-0880
Address
5009 HERITAGE AVE
Enumeration Date
26 July 2023
Last Update Date
17 April 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9412859062
Graduation Year
2022 (4 years ago)
PAC ID
0446614846
Group Practice PAC ID
7214392810
Professional Enrollment ID
I20230919002281
Address ID
TX752261494DA2550XAVEX301
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness75
Years active:2State licenses:1Digital endpointsOther names

22,204 NURSE PRACTITIONER in TX

Provider Addresses for BONNIE STIFFLER (FNP-C)

  • 5009 HERITAGE AVE

    COLLEYVILLE, TX 760345913

    Phone: (817) 590-0880

    Type: Mailing

  • 801 TIMBERLINE CT

    KELLER, TX 762483849

    Phone: (801) 273-0100

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 109 Open Payments records for all available years, with a total value of $2,355.

Total Amount is formed as General ($2,355) + Research ($0) + Ownership ($0) = $2,355.

Last reported payment date: 2024-05-30 • Largest payer in this snapshot: Amgen Inc. ($259).

Total Amount

$2,355

General + Research + Ownership

Payments

109

Total payment records

General Amount

$2,355

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-05-30

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2023-09-19

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
I20230919002281INurse PractitionerTXTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 76034)

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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: 7214392810View full group profile
NameSpecialtyState
Nurse PractitionerFL
Nurse PractitionerFL
Nurse PractitionerFL
Nurse PractitionerFL
Nurse PractitionerFL
Nurse PractitionerFL
Nurse PractitionerFL
Nurse PractitionerFL
Nurse PractitionerFL
Nurse PractitionerFL

Reviews

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Frequently asked questions

Is BONNIE STIFFLER (FNP-C) listed with a National Provider Identifier?
Yes — BONNIE STIFFLER (FNP-C) has NPI 1164103941 on file in the registry.
Is BONNIE STIFFLER (FNP-C) shown as active in public data?
Registry records indicate BONNIE STIFFLER (FNP-C) maintains an active NPI.
What clinical focus is listed for BONNIE STIFFLER (FNP-C)?
At a glance, BONNIE STIFFLER (FNP-C) is tied to Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What practice footprint exists for BONNIE STIFFLER (FNP-C)?
Travel planning: use Colleyville, Texas as the reference point for BONNIE STIFFLER (FNP-C), then confirm.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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