MARY KRISTINE TABANGAY FNP
NPI 1255297099
Nurse Practitioner - Family in Bossier City, LA

Active since December 24, 2025PECOS EnrolledAccepts Medicare Assignment
2400 HOSPITAL DR, BOSSIER CITY, LA 71111(318) 212-7430 Get Directions Write a Review

NPPES record last updated: February 5, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Feb 5, 2026, Dec 24, 2025 (2 updates tracked since 2025).

About Mary Kristine Tabangay Fnp NPPES

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

MARY KRISTINE TABANGAY FNP (NPI 1255297099) is an individual family provider in Bossier City, Louisiana, licensed in Louisiana (242410) and active in the NPI registry since December 2025. She is enrolled in Medicare PECOS, is affiliated with Willis Knighton Medical Center, and is a graduate of Other (2025).

NPPES Registry Identity

NPI1255297099
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMARY KRISTINE TABANGAYCredential: FNP
Location Address2400 HOSPITAL DRBossier City, LA 71111-2385
Mailing Address2400 Hospital Dr Ste 310Bossier City, LA 71111-2387 · (318) 212-7430 · Fax (318) 212-7435
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateDecember 24, 2025
Last NPPES UpdateFebruary 5, 20262 updates tracked since enumeration
NPPES CertifiedFebruary 5, 2026
NPI 1255297099 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 LA · 242410
2400 HOSPITAL DR, Bossier City, LA 71111

Other Names 1

Former Name (1)Mary Kristine Talamayan Rn

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Mary Kristine Tabangay 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 ID5193209690
PECOS Enrollment IDI20260323003681
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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Willis Knighton Medical Center

Acute Care Hospitals · Shreveport, LA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number190111
Location2600 Greenwood RoadShreveport, LA 71103 · Caddo County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 71111 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
$83.60 typical visit price
range $53.43 – $164.73
Typical copayment $20.90 (range $13.35 – $41.18)
Most-billed visit code 99203
Established Patient
$95.09 typical visit price
range $16.64 – $133.62
Typical copayment $23.77 (range $4.16 – $33.40)
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 20

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

Internal Medicine
2400 HOSPITAL DR, SUITE 420
BOSSIER CITY, LA 71111
General Acute Care Hospital
2400 HOSPITAL DR
BOSSIER CITY, LA 71111
Internal Medicine
2400 HOSPITAL DR, SUITE 420
BOSSIER CITY, LA 71111
Obstetrics & Gynecology
2400 HOSPITAL DR, SUITE 240
BOSSIER CITY, LA 71111
Nurse Anesthetist, Certified Registered
2400 HOSPITAL DR
BOSSIER CITY, LA 71111
Internal Medicine
2400 HOSPITAL DR, SUITE 420
BOSSIER CITY, LA 71111
Ophthalmology
2400 HOSPITAL DR, SUITE 100
BOSSIER CITY, LA 71111
Ophthalmology
2400 HOSPITAL DR, SUITE 100
BOSSIER CITY, LA 71111

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 Mary Tabangay's NPI number?

The NPI number for Mary Tabangay is 1255297099. It was assigned to this individual provider in the NPPES registry on December 24, 2025. The provider is also known as Mary Kristine Talamayan Rn.

Where is Mary Tabangay located?

Mary Tabangay practices at 2400 Hospital Dr, Bossier City, LA 71111. The listed phone number is (318) 212-7430.

What is Mary Tabangay's specialty?

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

Is Mary Tabangay enrolled in Medicare?

Yes. Mary Tabangay 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.

Is Mary Tabangay affiliated with any hospitals?

According to CMS data, Mary Tabangay is affiliated with Willis Knighton Medical Center.

When was this NPI record last updated?

The NPPES record for Mary Tabangay was last updated on February 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.