Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

CASSANDRA W BULLOCK
NPI 1417670100
Nurse Practitioner - Psychiatric/Mental Health in San Antonio, TX

Active since September 19, 2022PECOS Enrolled
8535 TOM SLICK, SAN ANTONIO, TX 78229(210) 582-6440 Get Directions Write a Review

NPPES record last updated: July 1, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 6, 2024, Sep 5, 2023, Mar 10, 2023 and 1 more (4 updates tracked since 2022).

About Cassandra W Bullock NPPES

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

CASSANDRA W BULLOCK (NPI 1417670100) is an individual psychiatric/mental health provider in San Antonio, Texas, licensed in Texas (1097442) and active in the NPI registry since September 2022. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1417670100
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameCASSANDRA W BULLOCK
Location Address8535 TOM SLICKSan Antonio, TX 78229-3367
Mailing Address8535 Tom SlickSan Antonio, TX 78229-3367 · (210) 582-6440
Sole ProprietorNo
Enumeration DateSeptember 19, 2022
Last NPPES UpdateJuly 1, 20264 updates tracked since enumeration
NPPES CertifiedJuly 1, 2026
NPI 1417670100 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License Licensed in TX · 1097442
Also ListedRegistered Nurse · Critical Care MedicineTaxonomy 163WC0200X · License 956188 (TX)
8535 TOM SLICK, San Antonio, TX 78229

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Cassandra W Bullock 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78229 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 20

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

Psychologist (Clinical)
8535 TOM SLICK
SAN ANTONIO, TX 78229
Counselor (Professional)
8535 TOM SLICK
SAN ANTONIO, TX 78229
Counselor (Professional)
8535 TOM SLICK
SAN ANTONIO, TX 78229
Social Worker (Clinical)
8535 TOM SLICK
SAN ANTONIO, TX 78229
Nurse Practitioner (Psychiatric/Mental Health)
8535 TOM SLICK
SAN ANTONIO, TX 78229
Counselor (Professional)
8535 TOM SLICK
SAN ANTONIO, TX 78229
Psychiatry & Neurology (Child & Adolescent Psychiatry)
8535 TOM SLICK
SAN ANTONIO, TX 78229
Psychiatry & Neurology (Psychiatry)
8535 TOM SLICK
SAN ANTONIO, TX 78229

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 Cassandra Bullock's NPI number?

The NPI number for Cassandra Bullock is 1417670100. It was assigned to this individual provider in the NPPES registry on September 19, 2022.

Where is Cassandra Bullock located?

Cassandra Bullock practices at 8535 Tom Slick, San Antonio, TX 78229. The listed phone number is (210) 582-6440.

What is Cassandra Bullock's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Cassandra Bullock enrolled in Medicare?

Yes. Cassandra Bullock is registered in the Medicare PECOS enrollment system.

What insurance does Cassandra Bullock accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and Ambetter from Superior HealthPlan and 7 other insurers list Cassandra Bullock 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 Cassandra Bullock was last updated on July 1, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 37 days 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.