YALI TU FNP
NPI 1215645940
Nurse Practitioner - Family in Round Rock, TX

Active since November 11, 2022PECOS EnrolledAccepts Medicare Assignment
3950 N A W GRIMES BLVD STE N104, ROUND ROCK, TX 78665(877) 800-5722 Get Directions Write a Review

NPPES record last updated: August 10, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Aug 10, 2026, Nov 11, 2022 (2 updates tracked since 2022).

About Yali Tu Fnp NPPES

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

YALI TU FNP (NPI 1215645940) is an individual family provider in Round Rock, Texas, licensed in Texas (828454) and active in the NPI registry since November 2022. She is enrolled in Medicare PECOS, maintains 3 additional practice locations, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1215645940
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameYALI TUCredential: FNP
Location Address3950 N A W GRIMES BLVD STE N104Round Rock, TX 78665-3540
Mailing Address10911 Corona LnHouston, TX 77072-3611 · (832) 416-6727
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateNovember 11, 2022
Last NPPES UpdateAugust 10, 20262 updates tracked since enumeration
NPPES CertifiedAugust 10, 2026
✔ NPI 1215645940 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in TX · 828454
3950 N A W GRIMES BLVD STE N104, Round Rock, TX 78665

Secondary Practice Locations 3

Location 11221 W Ben White Blvd Ste B100B200Austin, TX 78704-7192 · Phone (877) 800-5722
Location 23950 N A W Grimes Blvd Ste N301ARound Rock, TX 78665-3540 · Phone (877) 800-5722
Location 36565 Fannin StHouston, TX 77030-2703 · Phone (713) 441-4102

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Yali Tu Fnp is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1153765862
PECOS Enrollment IDI20240221003252
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 Yali Tu reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Federally Qualified Health Center (FQHC)
802 AVENUE J
Marble Falls, TX 78654
  • Reassigned Medicare billing, Texas enrollment
  • 162 clinicians in this Medicare group
Family Medicine
2610 NORTH MASON ROAD
Katy, TX 77449
  • Reassigned Medicare billing, Texas enrollment
  • 26 clinicians in this Medicare group

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 78665 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
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
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.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Counselor (Professional)
3950 N A W GRIMES BLVD STE N104
ROUND ROCK, TX 78665
Internal Medicine
3950 N A W GRIMES BLVD STE N104
ROUND ROCK, TX 78665
Physician Assistant
3950 N A W GRIMES BLVD STE N104
ROUND ROCK, TX 78665

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 Yali Tu's NPI number?

The NPI number for Yali Tu is 1215645940. It was assigned to this individual provider in the NPPES registry on November 11, 2022.

Where is Yali Tu located?

Yali Tu practices at 3950 N A W Grimes Blvd Ste N104, Round Rock, TX 78665. The listed phone number is (877) 800-5722.

What is Yali Tu's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Yali Tu enrolled in Medicare?

Yes. Yali Tu is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Yali Tu's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Yali Tu reassigns Medicare benefits to 2 organizations: Lone Star Circle Of Care (Marble Falls, TX) and Innovista Provider Group Texas PA (Katy, 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 Yali Tu's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Yali Tu accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Oscar Insurance Company, Sendero Health Plans, Local Nonprofit and WellPoint list Yali Tu as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Yali Tu was last updated on August 10, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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.