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AYESHA BACCHUS
NPI 1477265759
Nurse Practitioner - Pediatrics in Round Rock, TX

Active since December 19, 2022PECOS Enrolled
16040 PARK VALLEY DR STE 227, ROUND ROCK, TX 78681(512) 255-7337 Get Directions Write a Review

NPPES record last updated: May 3, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: May 3, 2024, Apr 14, 2023, Jan 11, 2023 and 2 more (5 updates tracked since 2022).

About Ayesha Bacchus NPPES

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

AYESHA BACCHUS (NPI 1477265759) is an individual pediatrics provider in Round Rock, Texas, licensed in Texas (1102199) and active in the NPI registry since December 2022. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1477265759
Entity TypeIndividualFemale
Primary Taxonomy363LP0200X
Provider Legal NameAYESHA BACCHUS
Location Address16040 PARK VALLEY DR STE 227Round Rock, TX 78681-3596
Mailing Address16040 Park Valley Dr Ste 227Round Rock, TX 78681-3596
Phone(512) 255-7337
Sole ProprietorYes
Enumeration DateDecember 19, 2022
Last NPPES UpdateMay 3, 20245 updates tracked since enumeration
NPPES CertifiedMay 3, 2024
✔ NPI 1477265759 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0200X
License✔ Licensed in TX · 1102199
16040 PARK VALLEY DR STE 227, Round Rock, TX 78681
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ayesha Bacchus 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 Reassignment

Medicare enrollment records show Ayesha Bacchus reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Dell Children's Medical Group
2.4 mi
Pediatrics
1000 HESTERS CROSSING RD
Round Rock, TX 78681
  • Reassigned Medicare billing, Texas enrollment
  • Medicare enrollment name: Dell Childrens Medical Group
  • 576 clinicians in this Medicare group
NPI 1790103869 (512) 628-1800

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 78681 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.

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 Ayesha Bacchus's NPI number?

The NPI number for Ayesha Bacchus is 1477265759. It was assigned to this individual provider in the NPPES registry on December 19, 2022.

Where is Ayesha Bacchus located?

Ayesha Bacchus practices at 16040 Park Valley Dr Ste 227, Round Rock, TX 78681. The listed phone number is (512) 255-7337.

What is Ayesha Bacchus's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

Is Ayesha Bacchus enrolled in Medicare?

Yes. Ayesha Bacchus is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Ayesha Bacchus's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ayesha Bacchus reassigns Medicare benefits to Dell Children's Medical Group (Round Rock, TX). 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 Ayesha Bacchus's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Ayesha Bacchus accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 4 other insurers list Ayesha Bacchus 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 Ayesha Bacchus was last updated on May 3, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.