BLAINE MITCHELL PANTANO APRN
NPI 1144001611
Nurse Practitioner in Houston, TX

Q: What is Blaine Pantano's NPI number?

The NPI number for Blaine Pantano is 1144001611. It was assigned to this individual provider in the NPPES registry on October 11, 2023.

Q: What is Blaine Pantano's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: When was this NPI record last updated?

The NPPES record for Blaine Pantano was last updated on March 14, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months 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 October 11, 2023PECOS EnrolledAccepts Medicare Assignment

6720 BERTNER AVE, HOUSTON, TX 77030(713) 798-1000 Get Directions Write a Review

NPPES record last updated: March 14, 2025. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Mar 14, 2025, Jan 8, 2025, Oct 30, 2023 and 1 more (4 updates tracked since 2023).

On this page

About Blaine Mitchell Pantano Aprn NPPES

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

BLAINE MITCHELL PANTANO APRN (NPI 1144001611) is an individual nurse practitioner in Houston, Texas, licensed in Texas (1138829) and active in the NPI registry since October 2023. He is enrolled in Medicare PECOS, is affiliated with Chi St Luke's Health Baylor College Of Medicine Me, and maintains a secondary practice location in Houston.

NPPES Registry Identity

NPI1144001611

Entity TypeIndividualMale

Primary Taxonomy363L00000X

Provider Legal NameBLAINE MITCHELL PANTANOCredential: APRN

Location Address6720 BERTNER AVEHouston, TX 77030-2604

Mailing Address6720 Bertner AveHouston, TX 77030-2604 · (713) 798-1000

Phone(713) 798-1000

Sole ProprietorNo

Medical School CMSOtherGraduated 2023

Enumeration DateOctober 11, 2023

Last NPPES UpdateMarch 14, 20254 updates tracked since enumeration

NPPES CertifiedMarch 14, 2025

✔ NPI 1144001611 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

Licenses✔ Licensed in TX · 1138829✔ Licensed in TX · 886999

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

6720 BERTNER AVE, Houston, TX 77030

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Secondary Practice Location 1

Location 17000 Fannin StHouston, TX 77030-5400 · Phone (832) 880-5446

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Blaine Mitchell Pantano Aprn is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID840648416

PECOS Enrollment IDI20231121002413

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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Chi St Luke's Health Baylor College Of Medicine Me

Acute Care Hospitals · Houston, TX

4/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number450193

Location6720 Bertner Ave, Ste Mc1-266Houston, TX 77030 · Harris County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77030 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

$90.40 typical visit price

range $58.24 – $176.98

Typical copayment $22.60 (range $14.56 – $44.24)

Most-billed visit code 99203

Established Patient

$102.71 typical visit price

range $18.60 – $143.93

Typical copayment $25.67 (range $4.65 – $35.98)

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.

Other Providers at the Same Location NPPES 20

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

DR. ARCHANA VARGHEESE RAGHAVAN M.D.

Anesthesiology