Judith Bonifacio, RN, MSN, CPNP-PC
NPI 1629549019 · Primary Care Nurse Practitioner · Fort Worth, TX
Enrolled with Medicare as Practitioner - Nurse Practitioner · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Judith Bonifacio, RN, MSN, CPNP-PC is a Primary Care Nurse Practitioner provider in Fort Worth, TX (NPI 1629549019).
Provider details
- NPI number
- 1629549019
- Entity type
- Individual
- Primary specialty
- Primary Care Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- RN, MSN, CPNP-PC
- Sex
- Female
- Sole proprietor
- No
- License
- AP138755 (TX)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
4 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Additional practice locations (3)
- 1935 Medical District DrDallas, TX 75235-7701Phone: (214) 456-2670
- 6520 N President George Bush Hwy Ste 100Garland, TX 75044-3925Phone: (972) 532-9967
- 3166 S State Highway 161 Ste 170Grand Prairie, TX 75052-7720Phone: (972) 640-0005
Registry dates
- Enumerated
- 2018-12-10
- Last updated
- 2023-10-16
- Certified
- 2023-10-16
Frequently asked questions
- What is Judith Bonifacio's NPI number?
- Judith Bonifacio's National Provider Identifier (NPI) is 1629549019, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Judith Bonifacio's specialty?
- Judith Bonifacio is listed in the NPPES registry with a primary specialty of Primary Care Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Judith Bonifacio located?
- Judith Bonifacio's practice location on file with NPPES is 1500 W Rosedale St, Fort Worth, TX 76104-7403.
- What is Judith Bonifacio's phone number?
- The practice phone number listed in the NPPES registry for Judith Bonifacio is (682) 885-3426.
- Does Judith Bonifacio accept Medicare?
- Judith Bonifacio is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Judith Bonifacio's NPI active?
- Yes — Judith Bonifacio's NPI (1629549019) is active in the NPPES registry as of the last update on 2023-10-16.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.