BONIFACE ANYIENI (NP) – Nurse Practitioner, NPI 1336994052

BONIFACE ANYIENI (NP) is a healthcare provider. based in Spring, Texas. specializing in NURSE PRACTITIONER. They hold the professional credentials NP. They hold a License No. 1153775 (TX). The NPI Number for BONIFACE ANYIENI (NP) is 1336994052

Main info

Male
3 Years Of Experience
Accepts Medicare Assignment
Name
BONIFACE ANYIENI (NP)
NPI
1336994052
Phone
(612) 390-0241
Address
2129 FM 2920 RD STE 171
Enumeration Date
17 April 2024
Last Update Date
4 June 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2813322626
Graduation Year
2023 (3 years ago)
PAC ID
2062959083
Group Practice PAC ID
5496013187
Professional Enrollment ID
I20240807003225
Address ID
TX775736313LE1307XPKWY500
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 BONIFACE ANYIENI (NP)

  • 2129 FM 2920 RD STE 171

    SPRING, TX 773883671

    Phone: (612) 390-0241

    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: 2024-08-07

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
I20240807003225INurse 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 77388)

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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: 5496013187View full group profile
NameSpecialtyState
Nurse PractitionerTX
Internal MedicineAZ
Nurse PractitionerTX
Nurse PractitionerTX
Nurse PractitionerTX
Internal MedicineTX
Internal MedicineTX
Internal Medicine, Pediatric MedicineTX
Family PracticeTX
Internal MedicineMA

Reviews

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Frequently asked questions

How do payers reference BONIFACE ANYIENI (NP)?
For BONIFACE ANYIENI (NP), use NPI 1336994052 as the unique 10-digit identifier.
Is BONIFACE ANYIENI (NP) shown as active in public data?
Registry records indicate BONIFACE ANYIENI (NP) maintains an active NPI.
How would a patient describe BONIFACE ANYIENI (NP)'s focus?
For BONIFACE ANYIENI (NP), the primary taxonomy reads as Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where in Texas is BONIFACE ANYIENI (NP) registered?
Use Spring, Texas as the headline location for BONIFACE ANYIENI (NP) here.
When was this NPI issued?
Enumeration for BONIFACE ANYIENI (NP) is noted as April 17, 2024 where the registry provides it.

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