MRS. LYNDA ELIZABETH BOCKMON (ANP-BC, ACNP-BC) – Adult Health Nurse Practitioner, NPI 1609089481

MRS. LYNDA ELIZABETH BOCKMON (ANP-BC, ACNP-BC) is a healthcare provider. based in Tyler, Texas. specializing in NURSE PRACTITIONER. They hold the professional credentials ANP-BC, ACNP-BC. They hold a License No. AP114362 (TX). The NPI Number for MRS. LYNDA ELIZABETH BOCKMON (ANP-BC, ACNP-BC) is 1609089481

Main info

Female
19 Years Of Experience
Accepts Medicare Assignment
Name
MRS. LYNDA ELIZABETH BOCKMON (ANP-BC, ACNP-BC)
NPI
1609089481
Phone
(903) 533-8702
Address
1040 S Fleishel Ave
Enumeration Date
8 May 2007
Last Update Date
27 April 2026

Doctor Profile

Medical School Name
TEXAS TECH UNIVERSITY HEALTH SCIENCE CENTER SCHOOL OF MEDICINE
Secondary Phone
9034344850
Graduation Year
2007 (19 years ago)
PAC ID
5092761718
Group Practice PAC ID
0143203257
Professional Enrollment ID
I20071119000065
Address ID
TX754551105MO2101XAVEX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness85
Years active:19State licenses:1Digital endpointsOther names

22,204 NURSE PRACTITIONER in TX

Provider Addresses for MRS. LYNDA ELIZABETH BOCKMON (ANP-BC, ACNP-BC)

  • 1040 S Fleishel Ave

    Tyler, TX 757012031

    Phone: (903) 533-8702

    Fax: (903) 533-8720

    Type: Location

  • 2101 MULBERRY AVE

    MOUNT PLEASANT, TX 754551105

    Phone: (903) 434-4850

    Fax: (903) 434-4899

    Type: Location

  • 221, West Colorado Boulevard, Dallas, TX, Dallas, Dallas County, Texas, 75208, United States

    PAVILION 2, SUITE 425

    DALLAS, TX 752085500

    Phone: (214) 947-3231

    Type: Mailing

  • 910, East Houston Street, Tyler, Smith County, Texas, 75702, United States

    TYLER, TX 757028369

    Phone: (903) 525-7995

    Type: Location

  • 1040 S FLEISHEL AVE

    TYLER, TX 757012031

    Phone: (903) 533-8702

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 21 Open Payments records for all available years, with a total value of $458.

Total Amount is formed as General ($458) + Research ($0) + Ownership ($0) = $458.

Last reported payment date: 2024-11-25 • Largest payer in this snapshot: Shockwave Medical, Inc ($102).

Total Amount

$458

General + Research + Ownership

Payments

21

Total payment records

General Amount

$458

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-25

Latest reported date

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: 2007-11-19

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
I20071119000065INurse 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.

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes3531$0
View full utilization report →

Insurance plans in this area (ZIP 75701)

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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: 0143203257View full group profile
NameSpecialtyState
Nurse PractitionerTX
Internal MedicineTX
Family PracticeTX
Internal Medicine, Interventional CardiologyTX
Family PracticeTX
N E U R O S U R G E R YTX
H O S P I T A L I S TTX
U R O L O G YAL
Diagnostic RadiologyTX
Medical OncologyMO

Reviews

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Frequently asked questions

How do I look up MRS. LYNDA ELIZABETH BOCKMON (ANP-BC, ACNP-BC) by NPI?
Use NPI 1609089481 when you need to reference MRS. LYNDA ELIZABETH BOCKMON (ANP-BC, ACNP-BC) in forms, claims, or directories.
Is MRS. LYNDA ELIZABETH BOCKMON (ANP-BC, ACNP-BC) active in the national directory?
MRS. LYNDA ELIZABETH BOCKMON (ANP-BC, ACNP-BC)'s public NPI profile is in an active state.
What field does MRS. LYNDA ELIZABETH BOCKMON (ANP-BC, ACNP-BC) work in?
You can think of MRS. LYNDA ELIZABETH BOCKMON (ANP-BC, ACNP-BC) as practicing within Adult Health Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where does public data place MRS. LYNDA ELIZABETH BOCKMON (ANP-BC, ACNP-BC)?
The snapshot lists Tyler, Texas for MRS. LYNDA ELIZABETH BOCKMON (ANP-BC, ACNP-BC); download NPPES for the complete set.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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