Annie Bista, APRN
Individual provider Active NPI Family Nurse Practitioner · Roanoke, TX
NPI 1245034594 · NPPES record last updated Feb 12, 2026
Key facts
- NPI
- 1245034594
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 1089419 (TX)
- Practice address
- 1224 N Highway 377 Ste 213
Roanoke, TX 76262-9109 - Phone
- (682) 549-2022
- Fax
- (512) 782-9316
- NPI assigned
- Apr 3, 2025
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Total MD Physicians Group, PLLC
Practice addresses (Care Compare)
1224 N Hwy 377
Suite 213
Roanoke, TX 76262-9109
Phone (682) 549-2022
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20260220000961 | TX | Practitioner - Nurse Practitioner | 1850872631 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1089419 | TX | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Total MD Physicians Group, PLLC | Current |
Accepting new patients |
Locations
8300 N Lamar Blvd
Ste 200A
Austin, TX 78753
Phone (512) 575-9555
2200 W University Dr
Ste 150
Denton, TX 76201
Phone (940) 304-0189
8528 Davis Blvd
Ste 150
North Richland Hills, TX 76182
Phone (817) 242-2630
234 W Campbell Rd
Richardson, TX 75080
Phone (972) 474-3221
1224 N Highway 377
Ste 213
Roanoke, TX 76262
Phone (682) 549-2022
2175 E Southlake Blvd
Ste 120
Southlake, TX 76092
Phone (817) 813-2700
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 1089419 | TX | Yes |
Addresses
Primary practice location
1224 N Highway 377 Ste 213
Roanoke, TX 76262-9109
Mailing address
1224 N Highway 377 Ste 213
Roanoke, TX 76262-9109
Phone (682) 549-2022
Other providers in Roanoke, TX
- Be Good Healthcare Inc
- Taylor Jo Beaulieu
- Jenna Denise Beck
- John Belew
- Marilyn Josephine Benedict
- Chloe Faith Bjornberg
- Jennifer King Blackledge
- Katlyn Blake
- Marcelle M Bordelon
- Christopher C Breuder
All providers in Roanoke, TX · Family Nurse Practitioner in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 12, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.