MARY KATHERINE BLEITNER
NPI 1104691724
Nurse Practitioner - Pediatrics in Georgetown, TX

Q: What is Mary Bleitner's NPI number?

The NPI number for Mary Bleitner is 1104691724. It was assigned to this individual provider in the NPPES registry on November 24, 2023.

Q: What is Mary Bleitner's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

Q: When was this NPI record last updated?

The NPPES record for Mary Bleitner was last updated on November 24, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since November 24, 2023PECOS Enrolled

600 HIGH TECH DR, GEORGETOWN, TX 78626(512) 930-4776 Get Directions Write a Review

NPPES record last updated: November 24, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Mary Katherine Bleitner NPPES

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

MARY KATHERINE BLEITNER (NPI 1104691724) is an individual pediatrics provider in Georgetown, Texas, licensed in Missouri (202326272) and active in the NPI registry since November 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1104691724

Entity TypeIndividualFemale

Primary Taxonomy363LP0200X

Provider Legal NameMARY KATHERINE BLEITNER

Location Address600 HIGH TECH DRGeorgetown, TX 78626-8185

Mailing Address1000 San Marcos St Unit 253Austin, TX 78702-2664 · (314) 737-8788

Phone(512) 930-4776

Sole ProprietorNo

Medical School CMSOtherGraduated 2023

Enumeration DateNovember 24, 2023

NPPES CertifiedNovember 24, 2023

✔ NPI 1104691724 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0200X

License✔ Licensed in MO · 202326272

600 HIGH TECH DR, Georgetown, TX 78626

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc..Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mary Katherine Bleitner is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1658856315

PECOS Enrollment IDI20260331001381

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78626 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

$84.92 typical visit price

range $54.84 – $166.88

Typical copayment $21.23 (range $13.71 – $41.72)

Most-billed visit code 99203

Established Patient

$97.05 typical visit price

range $17.52 – $136.11

Typical copayment $24.26 (range $4.38 – $34.02)

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.

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Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CHISHOLM TRAIL PEDIATRICS INC PA

Clinic/Center (Primary Care)