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PURAALMA DINGAL LABIS FNP
NPI 1770351744
Nurse Practitioner in San Antonio, TX

Active since December 19, 2023PECOS EnrolledAccepts Medicare Assignment
3011 W LOOP 1604 N STE 102, SAN ANTONIO, TX 78251(210) 681-6176(210) 681-6157 Get Directions Write a Review

NPPES record last updated: September 24, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Puraalma Dingal Labis Fnp NPPES

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

PURAALMA DINGAL LABIS FNP (NPI 1770351744) is an individual nurse practitioner in San Antonio, Texas, licensed in Texas (1114793) and active in the NPI registry since December 2023. She is enrolled in Medicare PECOS, maintains a secondary practice location in San Antonio, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1770351744
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NamePURAALMA DINGAL LABISCredential: FNP
Location Address3011 W LOOP 1604 N STE 102San Antonio, TX 78251-3963
Mailing Address20503 Creek RivSan Antonio, TX 78259-2083 · (410) 537-0261
Phone(210) 681-6176
Fax(210) 681-6157
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateDecember 19, 2023
Last NPPES UpdateSeptember 24, 2025
NPPES CertifiedSeptember 24, 2025
✔ NPI 1770351744 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in TX · 1114793
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
3011 W LOOP 1604 N STE 102, San Antonio, TX 78251
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Secondary Practice Location 1

Location 120503 Creek RivSan Antonio, TX 78259-2083 · Phone (410) 537-0261

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, Community First, Harbor Health 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 and accepts Medicare assignment

Puraalma Dingal Labis 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 ID5496288995
PECOS Enrollment IDI20241022005108
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 Reassignments

3

Medicare enrollment records show Puraalma Labis reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Tcp Health Sa PLLC
12 mi
Family Medicine
4553 N LOOP 1604 W STE 1119
San Antonio, TX 78249
  • Reassigned Medicare billing, Texas enrollment
  • 28 clinicians in this Medicare group
NPI 1649160599 (210) 972-8058
Bhs Physicians Network, Inc
17 mi
Family Medicine
502 MADISON OAK DR STE 310
San Antonio, TX 78258
  • Reassigned Medicare billing, Texas enrollment
  • 964 clinicians in this Medicare group
NPI 1598958431 (210) 483-8883
Hospitalist Medicine Physicians Of Texas - Amarillo, PLLC
829 mi
Internal Medicine
120 BRENTWOOD COMMONS WAY STE 510
Brentwood, TN 37027
  • Reassigned Medicare billing, Texas enrollment
  • 32 clinicians in this Medicare group
NPI 1598301574 (253) 682-6040

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
65 services27 patients
Initial nursing facility care with high level of medical decision making, per day, if using time, 50 minutes or more 99306
An initial nursing facility visit is your first meeting with your healthcare team at a nursing facility. Lasting typically 45 minutes, this appointment involves a comprehensive health assessment and the creation of your personalized care plan. It's a crucial step to ensure your health and well-being.
18 services18 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78251 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

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

DR. BRUCE TZYSHIUAN KUO M.D.
Internal Medicine (Interventional Cardiology)
3011 W LOOP 1604 N STE 102
SAN ANTONIO, TX 78251
Bexar County (210) 681-6176

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 Puraalma Labis's NPI number?

The NPI number for Puraalma Labis is 1770351744. It was assigned to this individual provider in the NPPES registry on December 19, 2023.

Where is Puraalma Labis located?

Puraalma Labis practices at 3011 W Loop 1604 N Ste 102, San Antonio, TX 78251. The listed phone number is (210) 681-6176.

What is Puraalma Labis's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Puraalma Labis enrolled in Medicare?

Yes. Puraalma Labis 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 organizations bill Medicare for Puraalma Labis's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Puraalma Labis reassigns Medicare benefits to 3 organizations: Tcp Health Sa PLLC (San Antonio, TX), Bhs Physicians Network, Inc (San Antonio, TX) and Hospitalist Medicine Physicians Of Texas - Amarillo, PLLC (Brentwood, TN). Each 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 Puraalma Labis's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Puraalma Labis accept?

Health plans from Blue Cross and Blue Shield of Texas, Community First, Harbor Health, Imperial Insurance Companies, Inc. and Oscar Insurance Company and 2 other insurers list Puraalma Labis 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 Puraalma Labis was last updated on September 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.