BLAKE MENCHACA AG-ACNP
NPI 1699217547
Nurse Practitioner - Acute Care in Houston, TX

Q: What is Blake Menchaca's NPI number?

The NPI number for Blake Menchaca is 1699217547. It was assigned to this individual provider in the NPPES registry on November 9, 2016.

Q: What is Blake Menchaca's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Blake Menchaca was last updated on October 3, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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 November 09, 2016PECOS EnrolledAccepts Medicare Assignment

91.34/100

CMS Quality Rating

6720 BERTNER AVE, HOUSTON, TX 77030(823) 355-2666 Get Directions Write a Review

NPPES record last updated: October 3, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 3, 2024, Dec 12, 2016, Nov 9, 2016 (3 updates tracked since 2016).

On this page

About Blake Menchaca Ag-acnp NPPES

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

BLAKE MENCHACA AG-ACNP (NPI 1699217547) is an individual acute care provider in Houston, Texas, licensed in Texas (AP132573) and active in the NPI registry since November 2016. He is enrolled in Medicare PECOS, is affiliated with Chi St Luke's Health Baylor College Of Medicine Me, and maintains a secondary practice location in San Antonio.

NPPES Registry Identity

NPI1699217547

Entity TypeIndividualMale

Primary Taxonomy363LA2100X

Provider Legal NameBLAKE MENCHACACredential: AG-ACNP

Location Address6720 BERTNER AVEHouston, TX 77030-2604

Mailing Address21 Spurs Ln, Ste 230bSan Antonio, TX 78240-1669 · (210) 690-7400 · Fax (210) 690-7405

Phone(823) 355-2666

Sole ProprietorNo

Medical School CMSOtherGraduated 2016

Enumeration DateNovember 9, 2016

Last NPPES UpdateOctober 3, 20243 updates tracked since enumeration

NPPES CertifiedOctober 3, 2024

✔ NPI 1699217547 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LA2100X

License✔ Licensed in TX · AP132573

Also ListedNurse Practitioner · Critical Care MedicineTaxonomy 363LC0200X · License AP132573 (TX)

6720 BERTNER AVE, Houston, TX 77030

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Secondary Practice Location 1

Location 121 Spurs Ln Ste 230BSan Antonio, TX 78240-1671 · Phone (210) 690-7400 · Fax (210) 690-7405

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections 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

Blake Menchaca Ag-acnp 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 ID5991086647

PECOS Enrollment IDI20170111002689

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.

Hospital Affiliations CMS Care Compare

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

Chi St Luke's Health Baylor College Of Medicine Me

Acute Care Hospitals · Houston, TX

4/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number450193

Location6720 Bertner Ave, Ste Mc1-266Houston, TX 77030 · Harris County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77030 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

$90.40 typical visit price

range $58.24 – $176.98

Typical copayment $22.60 (range $14.56 – $44.24)

Most-billed visit code 99203

Established Patient

$102.71 typical visit price

range $18.60 – $143.93

Typical copayment $25.67 (range $4.65 – $35.98)

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.

91.34/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored through an Alternative Payment Model

Quality

81.64

Promoting Interoperability

89.13

Improvement Activities

Other Providers at the Same Location NPPES 20

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

DR. ARCHANA VARGHEESE RAGHAVAN M.D.

Anesthesiology