BO LEE SELF-GILBERT
NPI 1760336630
Nurse Practitioner - Psychiatric/Mental Health in San Antonio, TX
About Bo Lee Self-gilbert NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BO LEE SELF-GILBERT (NPI 1760336630) is an individual psychiatric/mental health provider in San Antonio, Texas, licensed in Texas (1087965) and active in the NPI registry since February 2026. He is enrolled in Medicare PECOS and is a graduate of Other (2025).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Bo Lee Self-gilbert is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Bo Self-gilbert reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
San Antonio, TX 78217
- Reassigned Medicare billing, Texas enrollment
- 19 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 78217 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 4
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
SAN ANTONIO, TX 78217
SAN ANTONIO, TX 78217
SAN ANTONIO, TX 78217
SAN ANTONIO, TX 78217
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 Bo Self-gilbert's NPI number?
The NPI number for Bo Self-gilbert is 1760336630. It was assigned to this individual provider in the NPPES registry on February 25, 2026.
Where is Bo Self-gilbert located?
Bo Self-gilbert practices at 10807 Perrin Beitel Rd Ste 300, San Antonio, TX 78217. The listed phone number is (210) 245-7862.
What is Bo Self-gilbert's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.
Is Bo Self-gilbert enrolled in Medicare?
Yes. Bo Self-gilbert is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Bo Self-gilbert's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Bo Self-gilbert reassigns Medicare benefits to Insight Mental Wellness PA (San Antonio, 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 Bo Self-gilbert's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Bo Self-gilbert accept?
Health plans from Blue Cross and Blue Shield of Texas and WellPoint list Bo Self-gilbert 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 Bo Self-gilbert was last updated on July 27, 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.
# Bo Lee Self-Gilbert · NPI 1760336630
Psychiatric/Mental Health physician in San Antonio, Texas. Individual provider, active in the CMS NPPES registry since February 25, 2026.
## Identity
- **NPI:** 1760336630 (Entity type: Individual)
- **Enumerated:** February 25, 2026
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **State license:** 1087965 (Texas)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 10807 PERRIN BEITEL RD STE 300, San Antonio, TX 78217-3144
- **Phone:** (210) 245-7862
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Insight Mental Wellness PA (NPI 1598243479, San Antonio, TX), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2025
## Record status
- **NPPES last updated:** July 27, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1760336630) · Data from the CMS NPPES public registry.