DON RANDALL BOSTICK (FNP-C) – Family Nurse Practitioner, NPI 1225579964

DON RANDALL BOSTICK (FNP-C) is a healthcare provider. based in Clifton, Texas. specializing in NURSE PRACTITIONER. They hold the professional credentials FNP-C. They hold a License No. AP133545 (TX). The NPI Number for DON RANDALL BOSTICK (FNP-C) is 1225579964

Main info

Male
10 Years Of Experience
Accepts Medicare Assignment
Name
DON RANDALL BOSTICK (FNP-C)
NPI
1225579964
Phone
(254) 675-8322
Address
101 POSEY AVE
Enumeration Date
14 March 2017
Last Update Date
28 July 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2546758621
Graduation Year
2016 (10 years ago)
PAC ID
6901182922
Group Practice PAC ID
4587997754
Professional Enrollment ID
I20170405002148
Address ID
TX766341200CL201XXAVEX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience42
Completeness75
Years active:9State licenses:1Digital endpointsOther names

22,204 NURSE PRACTITIONER in TX

Provider Addresses for DON RANDALL BOSTICK (FNP-C)

  • 101 POSEY AVE

    CLIFTON, TX 766341289

    Phone: (254) 675-8322

    Type: Mailing

  • PO BOX 549

    CLIFTON, TX 766340549

    Phone: (254) 675-8322

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $18.

Total Amount is formed as General ($18) + Research ($0) + Ownership ($0) = $18.

Last reported payment date: 2024-02-22 • Largest payer in this snapshot: Exact Sciences Corporation ($18).

Total Amount

$18

General + Research + Ownership

Payments

1

Total payment records

General Amount

$18

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-02-22

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: 2017-04-05

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
I20170405002148INurse 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 76634)

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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: 4587997754View full group profile
NameSpecialtyState
Nurse PractitionerTX
Clinical PsychologistTX
Clinical Social WorkerTX
Certified Registered Nurse Anesthetist (Crna)TX
P O D I A T R YTX
P S Y C H I A T R YTX
-TX
Family PracticeTX
Internal MedicineTX
Nurse PractitionerTX

Reviews

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Frequently asked questions

Does DON RANDALL BOSTICK (FNP-C) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — DON RANDALL BOSTICK (FNP-C) uses 1225579964.
Does CMS list DON RANDALL BOSTICK (FNP-C) as active?
Yes — DON RANDALL BOSTICK (FNP-C) is active in the NPI listing used on this page.
What is DON RANDALL BOSTICK (FNP-C)'s specialty?
The listing groups DON RANDALL BOSTICK (FNP-C) with Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What address line appears for DON RANDALL BOSTICK (FNP-C)?
DON RANDALL BOSTICK (FNP-C)'s geographic hint is Clifton, Texas in our summary view.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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