SANDRA BIALOSE
NPI 1891305827
Nurse Practitioner - Psychiatric/Mental Health in Fort Worth, TX

Active since August 04, 2020PECOS Enrolled
1500 S MAIN ST, FORT WORTH, TX 76104(817) 702-3653 Get Directions Write a Review

NPPES record last updated: August 4, 2020. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Sandra Bialose NPPES

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

SANDRA BIALOSE (NPI 1891305827) is an individual psychiatric/mental health provider in Fort Worth, Texas, licensed in Texas (1004824) and active in the NPI registry since August 2020. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1891305827
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameSANDRA BIALOSE
Location Address1500 S MAIN STFort Worth, TX 76104-4917
Mailing Address1500 S Main StFort Worth, TX 76104-4917
Sole ProprietorYes
Enumeration DateAugust 4, 2020
NPPES CertifiedAugust 4, 2020
✔ NPI 1891305827 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in TX · 1004824
1500 S MAIN ST, Fort Worth, TX 76104

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)

Sandra Bialose 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 Sandra Bialose reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Psychiatry
901 W BEN WHITE BLVD
Austin, TX 78704
  • Reassigned Medicare billing, Texas enrollment
  • Medicare enrollment name: Mindcare Solutions Of Texas, P.A.
  • 42 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 76104 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
$87.20 typical visit price
range $56.47 – $171.07
Typical copayment $21.80 (range $14.11 – $42.76)
Most-billed visit code 99203
Established Patient
$99.68 typical visit price
range $18.18 – $139.68
Typical copayment $24.92 (range $4.54 – $34.92)
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.

Family Medicine
1500 S MAIN ST
FORT WORTH, TX 76104
Nurse Anesthetist, Certified Registered
1500 S MAIN ST
FORT WORTH, TX 76104
Family Medicine
1500 S MAIN ST
FT WORTH, TX 76104
Student in an Organized Health Care Education/Training Program
1500 S MAIN ST
FORT WORTH, TX 76104
Student in an Organized Health Care Education/Training Program
1500 S MAIN ST
FORT WORTH, TX 76104
Student in an Organized Health Care Education/Training Program
1500 S MAIN ST
FORT WORTH, TX 76104
Family Medicine
1500 S MAIN ST, FAMILY MEDICINE CENTER
FORT WORTH, TX 76104
Physician Assistant
1500 S MAIN ST
FORT WORTH, TX 76104

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 Sandra Bialose's NPI number?

The NPI number for Sandra Bialose is 1891305827. It was assigned to this individual provider in the NPPES registry on August 4, 2020.

Where is Sandra Bialose located?

Sandra Bialose practices at 1500 S Main St, Fort Worth, TX 76104. The listed phone number is (817) 702-3653.

What is Sandra Bialose's specialty?

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

Is Sandra Bialose enrolled in Medicare?

Yes. Sandra Bialose is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Sandra Bialose's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sandra Bialose reassigns Medicare benefits to Mindcare Solutions Of Texas PA (Austin, 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 Sandra Bialose's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Sandra Bialose 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 5 other insurers list Sandra Bialose 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 Sandra Bialose was last updated on August 4, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.