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PATRIZIA CONSUELO CANTU FNP-BC
NPI 1295496826
Nurse Practitioner in Mcallen, TX

Active since January 05, 2022PECOS EnrolledAccepts Medicare Assignment
1401 E RIDGE RD STE C, MCALLEN, TX 78503(956) 371-4043 Get Directions Write a Review

NPPES record last updated: July 1, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jan 11, 2022, Jan 5, 2022 (2 updates tracked since 2022).

About Patrizia Consuelo Cantu Fnp-bc NPPES

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

PATRIZIA CONSUELO CANTU FNP-BC (NPI 1295496826) is an individual nurse practitioner in Mcallen, Texas, licensed in Texas (1064912) and active in the NPI registry since January 2022. She is enrolled in Medicare PECOS, is affiliated with South Texas Health System, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1295496826
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NamePATRIZIA CONSUELO CANTUCredential: FNP-BC
Location Address1401 E RIDGE RD STE CMcallen, TX 78503-1525
Mailing Address3515 Alvarado StEdinburg, TX 78539-9710
Phone(956) 371-4043
Sole ProprietorYes
Medical School CMSOtherGraduated 2021
Enumeration DateJanuary 5, 2022
Last NPPES UpdateJuly 1, 20222 updates tracked since enumeration
NPPES CertifiedJuly 1, 2022
✔ NPI 1295496826 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in TX · 1064912
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.
1401 E RIDGE RD STE C, Mcallen, TX 78503
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Other Identifiers 1

Medicaid436851601TX

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, Oscar Insurance Company, UnitedHealthcare 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

Patrizia Consuelo Cantu Fnp-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 ID9436543998
PECOS Enrollment IDI20220225001165
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.

Areas of Expertise CMS Part B claims 12

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
333 services121 patients
Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
246 services98 patients
Removal of skin and tissue, 20.0 sq cm or less 11042
This procedure involves the surgical removal of skin and tissue, up to 20.0 square cm in size. It's often performed to treat conditions like skin cancer or to remove moles, warts, and other skin lesions. The area is numbed and the unwanted tissue is carefully cut out.
97 services48 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
84 services78 patients
Removal of skin and tissue, 20.0 sq cm or less 11042
This procedure involves the surgical removal of skin and tissue, up to 20.0 square cm in size. It's often performed to treat conditions like skin cancer or to remove moles, warts, and other skin lesions. The area is numbed and the unwanted tissue is carefully cut out.
80 services26 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
57 services30 patients

Hospital Affiliations CMS Care Compare 2

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

South Texas Health System

Acute Care Hospitals · Edinburg, TX
3/5 CMS rating
OwnershipProprietary
CMS Certification Number450119
Location1102 W Trenton RoadEdinburg, TX 78539 · Hidalgo County
Emergency services Birthing friendly

Rio Grande Regional Hospital

Acute Care Hospitals · Mcallen, TX
3/5 CMS rating
OwnershipProprietary
CMS Certification Number450711
Location101 E Ridge RdMcallen, TX 78503 · Hidalgo County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78503 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.

Other Providers at the Same Location NPPES

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

ANDREA FERNANDEZ NP
Nurse Practitioner (Family)
1401 E RIDGE RD STE C
MCALLEN, TX 78503
Hidalgo County (956) 317-4243

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 Patrizia Cantu's NPI number?

The NPI number for Patrizia Cantu is 1295496826. It was assigned to this individual provider in the NPPES registry on January 5, 2022.

Where is Patrizia Cantu located?

Patrizia Cantu practices at 1401 E Ridge Rd Ste C, Mcallen, TX 78503. The listed phone number is (956) 371-4043.

What is Patrizia Cantu's specialty?

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

Is Patrizia Cantu enrolled in Medicare?

Yes. Patrizia Cantu 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 Patrizia Cantu accept?

Health plans from Blue Cross and Blue Shield of Texas, Oscar Insurance Company, UnitedHealthcare and WellPoint list Patrizia Cantu 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.

Is Patrizia Cantu affiliated with any hospitals?

According to CMS data, Patrizia Cantu is affiliated with South Texas Health System and Rio Grande Regional Hospital.

When was this NPI record last updated?

The NPPES record for Patrizia Cantu was last updated on July 1, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.