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LUCY ANN WONG BACALSO AGACNP-BC
NPI 1174237457
Nurse Practitioner - Acute Care in Tomball, TX

Active since January 11, 2023PECOS Enrolled
18611 TUPPER CREEK CT, TOMBALL, TX 77377(832) 660-5213 Get Directions Write a Review

NPPES record last updated: January 11, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Lucy Ann Wong Bacalso Agacnp-bc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LUCY ANN WONG BACALSO AGACNP-BC (NPI 1174237457) is an individual acute care provider in Tomball, Texas, licensed in Texas (XXXXXX) and active in the NPI registry since January 2023. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1174237457
Entity TypeIndividualFemale
Primary Taxonomy363LA2100X
Provider Legal NameLUCY ANN WONG BACALSOCredential: AGACNP-BC
Location Address18611 TUPPER CREEK CTTomball, TX 77377-1587
Mailing Address18611 Tupper Creek CtTomball, TX 77377-1587 · (832) 660-5213
Phone(832) 660-5213
Sole ProprietorYes
Enumeration DateJanuary 11, 2023
NPPES CertifiedJanuary 11, 2023
✔ NPI 1174237457 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2100X
License✔ Licensed in TX · XXXXXX
18611 TUPPER CREEK CT, Tomball, TX 77377
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Lucy Ann Wong Bacalso Agacnp-bc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

2

Medicare enrollment records show Lucy Ann Bacalso reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Tmh Physician Associates PLLC
26 mi
Ophthalmology
6550 FANNIN ST, SUITE 447
Houston, TX 77030
  • Reassigned Medicare billing, Texas enrollment
  • 2,407 clinicians in this Medicare group
NPI 1275779225 (713) 441-7389
Houston Methodist Specialty Physicians
26 mi
Otolaryngology
7550 GREENBRIAR DR STE 600
Houston, TX 77030
  • Reassigned Medicare billing, Texas enrollment
  • 1,579 clinicians in this Medicare group
NPI 1902614332 (281) 414-6055

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77377 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$90.40 typical visit price
range $58.24 – $176.98
Typical copayment $22.60 (range $14.56 – $44.24)
Most-billed visit code 99203
Established Patient
$102.71 typical visit price
range $18.60 – $143.93
Typical copayment $25.67 (range $4.65 – $35.98)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lucy Ann Bacalso's NPI number?

The NPI number for Lucy Ann Bacalso is 1174237457. It was assigned to this individual provider in the NPPES registry on January 11, 2023.

Where is Lucy Ann Bacalso located?

Lucy Ann Bacalso practices at 18611 Tupper Creek Ct, Tomball, TX 77377. The listed phone number is (832) 660-5213.

What is Lucy Ann Bacalso's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Is Lucy Ann Bacalso enrolled in Medicare?

Yes. Lucy Ann Bacalso is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Lucy Ann Bacalso's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Lucy Ann Bacalso reassigns Medicare benefits to 2 organizations: Tmh Physician Associates PLLC (Houston, TX) and Houston Methodist Specialty Physicians (Houston, TX). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Lucy Ann Bacalso's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Lucy Ann Bacalso was last updated on January 11, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.