SUBHASH PURI (PMHNP-BC) – Psychiatric/Mental Health Nurse Practitioner, NPI 1063308336

SUBHASH PURI (PMHNP-BC) is a healthcare provider. based in Pflugerville, Texas. specializing in NURSE PRACTITIONER. They hold the professional credentials PMHNP-BC. They hold a License No. 1026863 (TX). The NPI Number for SUBHASH PURI (PMHNP-BC) is 1063308336

Main info

Male
Sole Proprietor
2 Years Of Experience
Accepts Medicare Assignment
Name
SUBHASH PURI (PMHNP-BC)
NPI
1063308336
Phone
(512) 850-3717
Address
925 MAHOMET DR
Enumeration Date
14 June 2025
Last Update Date
26 July 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8777792429
Graduation Year
2024 (2 years ago)
PAC ID
1456845775
Group Practice PAC ID
7012405145
Professional Enrollment ID
I20251212003289
Address ID
TX78705XXXXAUXXXXXXXXXX00
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience29
Completeness85
Years active:0State licenses:1Digital endpointsOther names

22,209 NURSE PRACTITIONER in TX

Provider Addresses for SUBHASH PURI (PMHNP-BC)

  • 925 MAHOMET DR

    PFLUGERVILLE, TX 786605472

    Phone: (512) 850-3717

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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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: 2025-12-12

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20251212003289INurse PractitionerTXTBD

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.

Verify on CMS Revalidation Lookup Tool

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 78660)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 7012405145View full group profile
NameSpecialtyState
Mental Health CounselorPA
Nurse PractitionerPA
Nurse PractitionerPA
Clinical Social WorkerPA
Nurse PractitionerFL
Nurse PractitionerPA
Nurse PractitionerPA
Clinical Social WorkerPA
Nurse PractitionerTX

Reviews

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Frequently asked questions

Does SUBHASH PURI (PMHNP-BC) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — SUBHASH PURI (PMHNP-BC) uses 1063308336.
Is SUBHASH PURI (PMHNP-BC) listed as active for patients and plans?
The listing shows SUBHASH PURI (PMHNP-BC) as active in the NPI system.
What is SUBHASH PURI (PMHNP-BC)'s primary classification?
Psychiatric/Mental Health Nurse Practitioner is the headline specialty for SUBHASH PURI (PMHNP-BC) here. Clinical services aligned with this taxonomy classification.
What address line appears for SUBHASH PURI (PMHNP-BC)?
SUBHASH PURI (PMHNP-BC)'s geographic hint is Pflugerville, Texas in our summary view.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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