MARY KRISTINE TABANGAY FNP
NPI 1255297099
Nurse Practitioner - Family in Bossier City, LA
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
Specialties & Licenses
Other Names 1
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
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.
Medicare Billing Reassignment
Medicare enrollment records show Mary Tabangay reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Bossier City, LA 71111
- Reassigned Medicare billing, Louisiana enrollment
- 4 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.
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, LAPhysician 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.
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.
BOSSIER CITY, LA 71111
BOSSIER CITY, LA 71111
BOSSIER CITY, LA 71111
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.
Which organization bills Medicare for Mary Tabangay's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Mary Tabangay reassigns Medicare benefits to Wk Neurology Clinic (Bossier City, LA). The 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 Mary Tabangay's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Mary Tabangay accept?
Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Blue Cross and Blue Shield of Louisiana and 2 other insurers list Mary Tabangay 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.
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 8 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.
# Mary Kristine Tabangay, FNP · NPI 1255297099
Family physician in Bossier City, Louisiana. Individual provider, active in the CMS NPPES registry since December 24, 2025.
## Identity
- **NPI:** 1255297099 (Entity type: Individual)
- **Enumerated:** December 24, 2025
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 242410 (Louisiana)
- **Sole proprietor:** No
## Practice location
- **Address:** 2400 HOSPITAL DR, Bossier City, LA 71111-2385
- **Phone:** (318) 212-7430
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Wk Neurology Clinic (NPI 1336576529, Bossier City, LA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2025
## Record status
- **NPPES last updated:** February 5, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1255297099) · Data from the CMS NPPES public registry.