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TANA MARIE NIETO MD
NPI 1730760463
Family Medicine in Conroe, TX

Active since April 15, 2021PECOS EnrolledAccepts Medicare Assignment
605 S CONROE MEDICAL DR, CONROE, TX 77304(936) 539-4004(936) 521-3964 Get Directions Write a Review

NPPES record last updated: July 4, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jul 4, 2024, May 25, 2021, Apr 15, 2021 (3 updates tracked since 2021).

About Tana Marie Nieto Md NPPES

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

TANA MARIE NIETO MD (NPI 1730760463) is an individual family medicine provider in Conroe, Texas, licensed in Texas (V0078) and active in the NPI registry since April 2021. She is enrolled in Medicare PECOS, maintains a secondary practice location in Houston, and is a graduate of University Of Texas Medical Branch At Galveston (2021).

NPPES Registry Identity

NPI1730760463
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameTANA MARIE NIETOCredential: MD
Location Address605 S CONROE MEDICAL DRConroe, TX 77304-4722
Mailing Address11511 Shadow Creek PkwyPearland, TX 77584-7298 · (713) 442-0000
Phone(936) 539-4004
Fax(936) 521-3964
Sole ProprietorNo
Medical School CMSUniversity Of Texas Medical Branch At GalvestonGraduated 2021
Enumeration DateApril 15, 2021
Last NPPES UpdateJuly 4, 20243 updates tracked since enumeration
NPPES CertifiedJuly 4, 2024
✔ NPI 1730760463 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in TX · V0078
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
605 S CONROE MEDICAL DR, Conroe, TX 77304
Open in Google Maps ↗

Secondary Practice Location 1

Location 12727 W Holcombe BlvdHouston, TX 77025-1669 · Phone (713) 442-0000

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Tana Marie Nieto Md 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 ID2668871732
PECOS Enrollment IDI20240918004555
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.

Medicare Billing Reassignment

Medicare enrollment records show Tana Nieto reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Kelsey-Seybold Medical Group, PLLC
40 mi
Multi-Specialty
2727 W HOLCOMBE BLVD
Houston, TX 77025
  • Reassigned Medicare billing, Texas enrollment
  • 1,649 clinicians in this Medicare group
NPI 1013915255 (713) 442-0000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77304 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 20

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

RUSHAB HARSHADKUMAR PATEL MD
Hospitalist
605 S CONROE MEDICAL DR
CONROE, TX 77304
Montgomery County (936) 539-4004
SERGIO JASAEL GUTIERREZ MD
Student in an Organized Health Care Education/Training Program
605 S CONROE MEDICAL DR
CONROE, TX 77304
Montgomery County (936) 539-4004
CHANDANA CHITTURI MD
Family Medicine
605 S CONROE MEDICAL DR
CONROE, TX 77304
Montgomery County (936) 539-4004
AMANDA CHAU DO
Family Medicine
605 S CONROE MEDICAL DR
CONROE, TX 77304
Montgomery County (936) 539-4004
ADONAI NATALIA PAZ MD
Student in an Organized Health Care Education/Training Program
605 S CONROE MEDICAL DR
CONROE, TX 77304
Montgomery County (936) 539-4004
NICOLAS ALONSO DO
Student in an Organized Health Care Education/Training Program
605 S CONROE MEDICAL DR
CONROE, TX 77304
Montgomery County (936) 539-4004
JORGE CEA LPC
Counselor (Professional)
605 S CONROE MEDICAL DR
CONROE, TX 77304
Montgomery County (936) 539-4004
DANNY FARLEY M.D.
Family Medicine
605 S CONROE MEDICAL DR
CONROE, TX 77304
Montgomery County (936) 539-4004

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 Tana Nieto's NPI number?

The NPI number for Tana Nieto is 1730760463. It was assigned to this individual provider in the NPPES registry on April 15, 2021.

Where is Tana Nieto located?

Tana Nieto practices at 605 S Conroe Medical Dr, Conroe, TX 77304. The listed phone number is (936) 539-4004.

What is Tana Nieto's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Tana Nieto enrolled in Medicare?

Yes. Tana Nieto 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.

Which organization bills Medicare for Tana Nieto's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Tana Nieto reassigns Medicare benefits to Kelsey-Seybold Medical Group, PLLC (Houston, TX). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Tana Nieto's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Tana Nieto accept?

Health plans from UnitedHealthcare list Tana Nieto 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 Tana Nieto was last updated on July 4, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.