ASHLEY BOURGOIS LABANCA (PMHNP) – Psychiatric/Mental Health Nurse Practitioner, NPI 1053807917
Psychiatric/Mental Health Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
3,550 NURSE PRACTITIONER in KS
Provider Addresses for ASHLEY BOURGOIS LABANCA (PMHNP)
8101 College Blvd
Overland Park, KS 662101978
Phone: (917) 634-5311
Type: Location
1 W Winter St
Delaware, OH 430154634
Phone: (917) 634-5311
Type: Location
712 N MANDAN ST
BISMARCK, ND 585013615
Phone: (701) 527-5605
Type: Mailing
201, South 2nd Street, Bismarck, Burleigh County, North Dakota, 58504, United States
BISMARCK, ND 585045729
Phone: (701) 258-3780
Type: Mailing
1785 Route 9
Halfmoon, NY 120652449
Phone: (888) 454-3827
Fax: (833) 938-1401
Type: Location
109 W 27th St
New York, NY 100010265
Phone: (917) 634-5311
Fax: (888) 815-3583
Type: Location
6500 University Ave
Des Moines, IA 503241607
Phone: (917) 634-5311
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
Loading prescription activity...
Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2025-09-05
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 3 Medicare enrollment records; no due dates published yet.
Enrollment records
3
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20220701000965 | I | Nurse Practitioner | NY | TBD |
| I20250829001158 | I | Nurse Practitioner | KS | TBD |
| I20250905003000 | I | Nurse Practitioner | OH | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 66210)
Loading plans...
Reviews
All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.
No reviews yet. Be the first to share your experience — your opinion helps families compare providers.