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AMY ELIZABETH BLANCKE AGACNP
NPI 1538729421
Nurse Practitioner in Fort Worth, TX

Active since June 13, 2019PECOS EnrolledAccepts Medicare Assignment
1121 5TH AVE STE 100, FORT WORTH, TX 76104(817) 423-8585(817) 423-8458 Get Directions Write a Review

NPPES record last updated: July 24, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 24, 2019, Jun 13, 2019 (2 updates tracked since 2019).

About Amy Elizabeth Blancke Agacnp NPPES

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

AMY ELIZABETH BLANCKE AGACNP (NPI 1538729421) is an individual nurse practitioner in Fort Worth, Texas, licensed in Texas (AP142394) and active in the NPI registry since June 2019. She is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1538729421
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameAMY ELIZABETH BLANCKECredential: AGACNP
Location Address1121 5TH AVE STE 100Fort Worth, TX 76104-4386
Mailing AddressP.o. Box 961205Fort Worth, TX 76161-1205 · (817) 740-8400
Phone(817) 423-8585
Fax(817) 423-8458
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateJune 13, 2019
Last NPPES UpdateJuly 24, 20192 updates tracked since enumeration
✔ NPI 1538729421 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 · AP142394
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.
1121 5TH AVE STE 100, Fort Worth, TX 76104
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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

✔

Enrolled in Medicare and accepts Medicare assignment

Amy Elizabeth Blancke Agacnp 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 ID7618205709
PECOS Enrollment IDI20190828000671
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 4

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 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.
213 services198 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
77 services65 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
38 services38 patients
Programming of dual lead pacemaker system 93280
Programming of a dual lead pacemaker system is a procedure to adjust your heart's pacemaker settings. This process involves a small device, called a programmer, that communicates with your pacemaker to ensure it's working optimally for your heart's needs.
16 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 76104 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
$87.20 typical visit price
range $56.47 – $171.07
Typical copayment $21.80 (range $14.11 – $42.76)
Most-billed visit code 99203
Established Patient
$99.68 typical visit price
range $18.18 – $139.68
Typical copayment $24.92 (range $4.54 – $34.92)
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 4

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

DR. MOHANAKRISHNAN SATHYAMOORTHY M.D.
Internal Medicine (Cardiovascular Disease)
1121 5TH AVE STE 100
FORT WORTH, TX 76104
Tarrant County (817) 423-8585
WILLIAM MARCUS BARNES
Nurse Practitioner
1121 5TH AVE STE 100
FORT WORTH, TX 76104
Tarrant County (817) 423-8585
CONSULTANTS IN CARDIOVASCULAR MEDICINE AND SCIENCE-FORT WORTH
Internal Medicine (Cardiovascular Disease)
1121 5TH AVE STE 100
FORT WORTH, TX 76104
Tarrant County (817) 423-8585
MRS. GRACE VICTORIA SPINKS PA-C
Physician Assistant
1121 5TH AVE STE 100
FORT WORTH, TX 76104
Tarrant County (817) 423-8585

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 Amy Blancke's NPI number?

The NPI number for Amy Blancke is 1538729421. It was assigned to this individual provider in the NPPES registry on June 13, 2019.

Where is Amy Blancke located?

Amy Blancke practices at 1121 5th Ave Ste 100, Fort Worth, TX 76104. The listed phone number is (817) 423-8585.

What is Amy Blancke's specialty?

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

Is Amy Blancke enrolled in Medicare?

Yes. Amy Blancke 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 Amy Blancke accept?

Health plans from Blue Cross and Blue Shield of Texas list Amy Blancke 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 Amy Blancke was last updated on July 24, 2019. 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.