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MRS. VALERIE JOYCE ARMSTRONG ANP
NPI 1790284701
Nurse Practitioner - Adult Health in Floresville, TX

Active since February 05, 2018PECOS Enrolled
260 US HIGHWAY 181 N, FLORESVILLE, TX 78114(830) 393-8222(844) 212-0399 Get Directions Write a Review

NPPES record last updated: October 11, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Oct 11, 2022, Aug 19, 2022, May 18, 2018 (3 updates tracked since 2018).

About Mrs. Valerie Joyce Armstrong Anp NPPES

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

MRS. VALERIE JOYCE ARMSTRONG ANP (NPI 1790284701) is an individual adult health provider in Floresville, Texas, licensed in Texas (AP136047) and active in the NPI registry since February 2018. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1790284701
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameMRS. VALERIE JOYCE ARMSTRONGCredential: ANP
Location Address260 US HIGHWAY 181 NFloresville, TX 78114-3136
Mailing Address6101 Blue Lagoon Dr Ste 200Miami, FL 33126-3168 · (561) 570-5172 · Fax (786) 472-5770
Phone(830) 393-8222
Fax(844) 212-0399
Sole ProprietorNo
Enumeration DateFebruary 5, 2018
Last NPPES UpdateOctober 11, 20223 updates tracked since enumeration
NPPES CertifiedOctober 11, 2022
✔ NPI 1790284701 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License✔ Licensed in TX · AP136047
Also ListedNurse Practitioner · GerontologyTaxonomy 363LG0600X · License AP136047 (TX)
Also ListedNurse Practitioner · Primary CareTaxonomy 363LP2300X · License AP136047 (TX)
260 US HIGHWAY 181 N, Floresville, TX 78114
Open in Google Maps ↗

Other Identifiers 2

Medicaid382068001TX
Other382068002TX · Cshcn

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, CHRISTUS Health Plan.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Valerie Joyce Armstrong Anp 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 Reassignments

3

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

Ipc Healthcare Services Of Texas, PLLC
32 mi
Hospitalist
7330 SAN PEDRO AVE, STE 540
San Antonio, TX 78216
  • Reassigned Medicare billing, Texas enrollment
  • 688 clinicians in this Medicare group
NPI 1023403011 (210) 344-7287
University Of Texas Health Science Center At San Antonio
34 mi
Clinical Pathology/Laboratory Medicine
7703 FLOYD CURL DR RM 327B
San Antonio, TX 78229
  • Reassigned Medicare billing, Texas enrollment
  • 2,397 clinicians in this Medicare group
NPI 1396717989 (210) 450-9000
Christus Trinity Clinic Texas
278 mi
Family Medicine
520 DOUGLAS BLVD
Tyler, TX 75702
  • Reassigned Medicare billing, Texas enrollment
  • 2,745 clinicians in this Medicare group
NPI 1285684225 (903) 315-4119

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 78114 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 7

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

STEPHANIE A SEKULA-SMITH P.A.
Physician Assistant (Medical)
260 US HIGHWAY 181 N
FLORESVILLE, TX 78114
Wilson County (830) 393-8222
DR. EFFIOK EKPENYONG MD
Family Medicine
260 US HIGHWAY 181 N
FLORESVILLE, TX 78114
Wilson County (830) 393-8222
THE PODIATRY GROUP OF SOUTH TEXAS, PA
Durable Medical Equipment & Medical Supplies
260 US HIGHWAY 181 N
FLORESVILLE, TX 78114
Wilson County (210) 227-4164
LANA LYNNE PRUSKI PA-C
Physician Assistant
260 US HIGHWAY 181 N
FLORESVILLE, TX 78114
Wilson County (830) 393-8222
DR. JACQUELIN ELIZABETH CASTILLO MD
Family Medicine
260 US HIGHWAY 181 N
FLORESVILLE, TX 78114
Wilson County (830) 393-8222
DR. MADELINE ELISE HAZLE
Family Medicine
260 US HIGHWAY 181 N
FLORESVILLE, TX 78114
Wilson County (830) 393-8222
ASHLEY NICOLE LASKOWSKI FNP-C
Nurse Practitioner (Family)
260 US HIGHWAY 181 N
FLORESVILLE, TX 78114
Wilson County (830) 393-8222

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 Valerie Armstrong's NPI number?

The NPI number for Valerie Armstrong is 1790284701. It was assigned to this individual provider in the NPPES registry on February 5, 2018.

Where is Valerie Armstrong located?

Valerie Armstrong practices at 260 Us Highway 181 N, Floresville, TX 78114. The listed phone number is (830) 393-8222.

What is Valerie Armstrong's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is Valerie Armstrong enrolled in Medicare?

Yes. Valerie Armstrong is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Valerie Armstrong's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Valerie Armstrong reassigns Medicare benefits to 3 organizations: Ipc Healthcare Services Of Texas, PLLC (San Antonio, TX), University Of Texas Health Science Center At San Antonio (San Antonio, TX) and Christus Trinity Clinic Texas (Tyler, TX). 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 Valerie Armstrong's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Valerie Armstrong accept?

Health plans from Blue Cross and Blue Shield of Texas and CHRISTUS Health Plan list Valerie Armstrong 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 Valerie Armstrong was last updated on October 11, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.