Individual provider Active NPI

Yali Tu, FNP

  • Family Nurse Practitioner
  • Round Rock, TX
National Provider Identifier
1215645940
Registry record updated Aug 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
828454 Issued in TX
Practice address
3950 N a W Grimes Blvd Ste N104
Round Rock, TX 78665-3540
Phone
(877) 800-5722
NPI assigned
Nov 11, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 828454 TX Primary

Addresses

Primary practice location

3950 N a W Grimes Blvd Ste N104
Round Rock, TX 78665-3540

Mailing address

10911 Corona LN
Houston, TX 77072-3611
Phone (832) 416-6727

Other practice location 1

1221 W Ben White Blvd Ste B100B200
Austin, TX 78704-7192
Phone (877) 800-5722

Other practice location 2

3950 N A W Grimes Blvd Ste N301A
Round Rock, TX 78665-3540
Phone (877) 800-5722

Other practice location 3

6565 Fannin St
Houston, TX 77030-2703
Phone (713) 441-4102

Electronic endpoints 1

TypeEndpointUseAffiliation
SOAP URL EHR Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240221003252 TX Practitioner - Nurse Practitioner 1153765862 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Innovista Provider Group Texas PAGroup PAC ID 6901235423, 24 clinicians

Practice addresses (Care Compare)

2610 N Mason Rd
Katy, TX 77449-2566
Phone (866) 325-0301

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
828454TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Innovista Provider Group Texas PA CurrentSince Oct 31, 2025 Accepting new patients
Innovista Provider Group Texas PA Current Accepting new patients

Locations

12586 Westheimer Rd
Houston, TX 77077
Phone (713) 804-5963

12302 Jones Rd
Houston, TX 77070
Phone (713) 804-5965

2610 N Mason Rd
Katy, TX 77449
Phone (713) 804-5960

18532 Kuykendahl Rd
Spring, TX 77379
Phone (713) 804-5960

Interoperability endpoints

  • Direct secure messaging: ytu26140@innovista.gardenplot.direct-ci.com

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1668124800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786320000000",
    "number": "1215645940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10911 CORONA LN",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770723611",
            "telephone_number": "832-416-6727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3950 N A W GRIMES BLVD STE N104",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786653540",
            "telephone_number": "877-800-5722"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1221 W Ben White Blvd Ste B100B200",
            "address_purpose": "LOCATION",
            "city": "Austin",
            "state": "TX",
            "postal_code": "787047192",
            "country_code": "US",
            "telephone_number": "877-800-5722",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3950 N A W Grimes Blvd Ste N301A",
            "address_purpose": "LOCATION",
            "city": "Round Rock",
            "state": "TX",
            "postal_code": "786653540",
            "country_code": "US",
            "telephone_number": "877-800-5722",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6565 Fannin St",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770302703",
            "country_code": "US",
            "telephone_number": "713-441-4102",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TU",
        "first_name": "YALI",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-11-11",
        "last_updated": "2026-08-10",
        "certification_date": "2026-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "828454",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "EHR",
            "affiliation": "N",
            "endpointDescription": "EHR",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "EHR",
            "address_1": "6565 Fannin St",
            "city": "Houston",
            "state": "TX",
            "country_code": "US",
            "postal_code": "770302703",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Round Rock, TX

Sources for this page

Verify at the official NPI Registry.