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MRS. KELLY MARIE PANTAZO NP-C
NPI 1306326855
Nurse Practitioner - Family in Imperial, MO

Active since August 15, 2018PECOS EnrolledAccepts Medicare Assignment
3647 KNEFF FARM XING, IMPERIAL, MO 63052(314) 882-1978 Get Directions Write a Review

NPPES record last updated: August 15, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mrs. Kelly Marie Pantazo Np-c NPPES

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

MRS. KELLY MARIE PANTAZO NP-C (NPI 1306326855) is an individual family provider in Imperial, Missouri, licensed in Missouri (2018024080) and active in the NPI registry since August 2018. She is enrolled in Medicare PECOS, is affiliated with Mercy Hospital St Louis, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1306326855
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMRS. KELLY MARIE PANTAZOCredential: NP-C
Location Address3647 KNEFF FARM XINGImperial, MO 63052-2887
Mailing Address3647 Kneff Farm XingImperial, MO 63052-2887 · (314) 882-1978
Phone(314) 882-1978
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateAugust 15, 2018
✔ NPI 1306326855 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in MO · 2018024080
3647 KNEFF FARM XING, Imperial, MO 63052
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Arkansas Blue Cross and Blue Shield, Health Advantage, Medica 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

Mrs. Kelly Marie Pantazo Np-c 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 ID4587909619
PECOS Enrollment IDI20181218003254
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 2

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.

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
31 services16 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
12 services12 patients

Hospital Affiliations CMS Care Compare

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

Mercy Hospital St Louis

Acute Care Hospitals · Saint Louis, MO
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number260020
Location615 New Ballas RoadSaint Louis, MO 63141 · St. Louis County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 63052 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
$86.32 typical visit price
range $55.65 – $169.38
Typical copayment $21.58 (range $13.91 – $42.34)
Most-billed visit code 99203
Established Patient
$98.37 typical visit price
range $17.76 – $137.92
Typical copayment $24.59 (range $4.44 – $34.48)
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.

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 Kelly Pantazo's NPI number?

The NPI number for Kelly Pantazo is 1306326855. It was assigned to this individual provider in the NPPES registry on August 15, 2018.

Where is Kelly Pantazo located?

Kelly Pantazo practices at 3647 Kneff Farm Xing, Imperial, MO 63052. The listed phone number is (314) 882-1978.

What is Kelly Pantazo's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Kelly Pantazo enrolled in Medicare?

Yes. Kelly Pantazo 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 Kelly Pantazo accept?

Health plans from Arkansas Blue Cross and Blue Shield, Health Advantage, Medica and Octave list Kelly Pantazo 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 Kelly Pantazo affiliated with any hospitals?

According to CMS data, Kelly Pantazo is affiliated with Mercy Hospital St Louis.

When was this NPI record last updated?

The NPPES record for Kelly Pantazo was last updated on August 15, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.