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BLAINE ROMERO AGACNP-BC
NPI 1164045225
Nurse Practitioner - Acute Care in Peoria, AZ

Active since May 24, 2020PECOS EnrolledAccepts Medicare Assignment
87.81/100
CMS Quality Rating
13640 N PLAZA DEL RIO BLVD STE 340, PEORIA, AZ 85381(623) 876-3840(623) 285-2602 Get Directions Write a Review

NPPES record last updated: May 24, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Blaine Romero Agacnp-bc NPPES

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

BLAINE ROMERO AGACNP-BC (NPI 1164045225) is an individual acute care provider in Peoria, Arizona, licensed in Arizona (237236) and active in the NPI registry since May 2020. He is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1164045225
Entity TypeIndividualMale
Primary Taxonomy363LA2100X
Provider Legal NameBLAINE ROMEROCredential: AGACNP-BC
Location Address13640 N PLAZA DEL RIO BLVD STE 340Peoria, AZ 85381-4846
Mailing Address13640 N Plaza Del Rio Blvd Ste 340Peoria, AZ 85381-4846 · (623) 876-3840 · Fax (623) 285-2602
Phone(623) 876-3840
Fax(623) 285-2602
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateMay 24, 2020
NPPES CertifiedMay 24, 2020
✔ NPI 1164045225 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2100X
License✔ Licensed in AZ · 237236
13640 N PLAZA DEL RIO BLVD STE 340, Peoria, AZ 85381
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Blue Cross Blue Shield of Arizona, Oscar Health Plan, Inc. 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 Romero Agacnp-bc 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 ID6103243373
PECOS Enrollment IDI20200902001584
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 85381 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
$85.89 typical visit price
range $55.44 – $168.60
Typical copayment $21.47 (range $13.86 – $42.15)
Most-billed visit code 99203
Established Patient
$98.00 typical visit price
range $17.72 – $137.41
Typical copayment $24.50 (range $4.43 – $34.35)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

87.81/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Promoting Interoperability99
Improvement Activities40
Cost61.22

Other Providers at the Same Location NPPES

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

DEEPA K SHAH MD
Internal Medicine (Gastroenterology)
13640 N PLAZA DEL RIO BLVD STE 340
PEORIA, AZ 85381
Maricopa County (623) 876-3840

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Blaine Romero's NPI number?

The NPI number for Blaine Romero is 1164045225. It was assigned to this individual provider in the NPPES registry on May 24, 2020.

Where is Blaine Romero located?

Blaine Romero practices at 13640 N Plaza Del Rio Blvd Ste 340, Peoria, AZ 85381. The listed phone number is (623) 876-3840.

What is Blaine Romero's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Is Blaine Romero enrolled in Medicare?

Yes. Blaine Romero is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Blaine Romero accept?

Health plans from Ambetter from Arizona Complete Health, Blue Cross Blue Shield of Arizona, Oscar Health Plan, Inc. and UnitedHealthcare list Blaine Romero as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Blaine Romero was last updated on May 24, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.