MIRA PISTILLO
NPI 1336970086
Nurse Practitioner - Psychiatric/Mental Health in Spring, TX

Q: What is Mira Pistillo's NPI number?

The NPI number for Mira Pistillo is 1336970086. It was assigned to this individual provider in the NPPES registry on August 13, 2024.

Q: What is Mira Pistillo's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Q: Is Mira Pistillo enrolled in Medicare?

No. Mira Pistillo has opted out of Medicare through July 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

Q: When was this NPI record last updated?

The NPPES record for Mira Pistillo was last updated on January 3, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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 August 13, 2024Opted out of Medicare · through Jul 1, 2028

4810 W PANTHER CREEK DR STE 203, SPRING, TX 77381(346) 298-1343 Get Directions Write a Review

NPPES record last updated: January 3, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 3, 2026, Aug 13, 2024 (2 updates tracked since 2024).

On this page

About Mira Pistillo NPPES

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

MIRA PISTILLO (NPI 1336970086) is an individual psychiatric/mental health provider in Spring, Texas, licensed in Texas (1170902) and active in the NPI registry since August 2024. She has opted out of Medicare through July 1, 2028 and remains eligible to order and refer and is a graduate of Other (2024).

NPPES Registry Identity

NPI1336970086

Entity TypeIndividualFemale

Primary Taxonomy363LP0808X

Provider Legal NameMIRA PISTILLO

Location Address4810 W PANTHER CREEK DR STE 203Spring, TX 77381-5005

Mailing Address4810 W Panther Creek Dr Ste 203Spring, TX 77381-5005 · (346) 298-1343 · Fax (281) 603-1461

Phone(346) 298-1343

Sole ProprietorNo

Medical School CMSOtherGraduated 2024

Enumeration DateAugust 13, 2024

Last NPPES UpdateJanuary 3, 20262 updates tracked since enumeration

NPPES CertifiedJanuary 3, 2026

✔ NPI 1336970086 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

License✔ Licensed in TX · 1170902

4810 W PANTHER CREEK DR STE 203, Spring, TX 77381

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

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Opted out of Medicare

Mira Pistillo has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from July 1, 2026 through July 1, 2028.

Opt-Out Effective DateJuly 1, 2026

Opt-Out In Effect ThroughJuly 1, 2028Opt-out affidavits renew automatically every two years unless cancelled

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77381 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.

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 Mira Pistillo's NPI number?

The NPI number for Mira Pistillo is 1336970086. It was assigned to this individual provider in the NPPES registry on August 13, 2024.

Where is Mira Pistillo located?

Mira Pistillo practices at 4810 W Panther Creek Dr Ste 203, Spring, TX 77381. The listed phone number is (346) 298-1343.

What is Mira Pistillo's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Mira Pistillo enrolled in Medicare?

No. Mira Pistillo has opted out of Medicare through July 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

What insurance does Mira Pistillo accept?

Health plans from Blue Cross and Blue Shield of Texas list Mira Pistillo 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 Mira Pistillo was last updated on January 3, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.