Bianca Blackstone

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

1140411 Issued in TX

Practice address

1305 Wonder World Dr Ste 200
San Marcos, TX 78666-7502

Phone

(512) 754-8676

Fax

(512) 371-6891

NPI assigned

Sep 14, 2023

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Texas Digestive Disease Consultants, PLLCGroup PAC ID 3375531379, 616 clinicians

Laredo ICU LLCGroup PAC ID 7618324898, 27 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Laredo Medical Center Hospital, Laredo, TX, CCN 450029
• Christus Santa Rosa Hospital-San Marcos Hospital, San Marcos, TX, CCN 450272
• Guadalupe Regional Medical Center Hospital, Seguin, TX, CCN 450104

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Laredo ICU, LLC

  • Emergency Medicine Physician
  • Laredo, TX
  • NPI 1649952649
  Medicare reassignment Care Compare group NPD
• Texas Digestive Disease Consultants, PLLC

  • Gastroenterology Physician
  • Irving, TX
  • NPI 1053397331
  Medicare reassignment Care Compare group NPD
• Gulf Coast Intensivists, PLLC

  • Critical Care Medicine (Internal Medicine) Physician
  • Corpus Christi, TX
  • NPI 1104509199

  Nurse Practitioner

  Medicare reassignment NPD
• Austin Gastroenterology, PLLC

  • Gastroenterology Physician
  • Austin, TX
  • NPI 1316998016
  Medicare reassignment
• Texas Digestive Disease Consultants, PLLC

  • Gastroenterology Physician
  • Houston, TX
  • NPI 1013429968
  NPD
• Texas Digestive Disease Consultants PLLC

  • Gastroenterology Physician
  • Covington, LA
  • NPI 1295428415
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Christus Santa Rosa Health Care Corporation

  • General Acute Care Hospital
  • New Braunfels, TX
  • NPI 1114725033
  Care Compare affiliation
• Christus Santa Rosa Health Care Corporation

  • General Acute Care Hospital
  • San Marcos, TX
  • NPI 1447883301
  Care Compare affiliation
• Guadalupe County Hospital Board

  • Nursing Care Agency
  • Seguin, TX
  • NPI 1487674727

  Hospital

  Care Compare affiliation
• Guadalupe County Hospital Board

  • General Acute Care Hospital
  • Seguin, TX
  • NPI 1720088123
  Care Compare affiliation
• Guadalupe County Hospital Board

  • General Acute Care Hospital
  • Seguin, TX
  • NPI 1780529966
  Care Compare affiliation
• Laredo Texas Hospital Company LP

  • General Acute Care Hospital
  • Laredo, TX
  • NPI 1548232044
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1694649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754956800000",
    "number": "1043098775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 E SAUNDERS ST",
            "city": "LAREDO",
            "state": "TX",
            "postal_code": "780415474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1305 WONDER WORLD DR STE 200",
            "city": "SAN MARCOS",
            "state": "TX",
            "postal_code": "786667502",
            "telephone_number": "512-754-8676",
            "fax_number": "512-371-6891"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLACKSTONE",
        "first_name": "BIANCA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-09-14",
        "last_updated": "2025-08-12",
        "certification_date": "2025-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LC0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Critical Care Medicine",
            "state": "TX",
            "license": "819527",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "1140411",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rahim Bhaloo, O.D.
• Justin Bickford, PT, DPT, OCS
• Lindsay Arlene Bisby, PMHNP-BC
• Angela Pilcher Black, M.D.
• Caitlin Blackmore
• Michael Montgomery Blair, D.O.
• Ashlee Marie Blakley, DPT
• Ashlyn Blakley
• Laura D Blankenship
• Barrett Randall Blaue, M.D.

• Nurse Practitioner in San Marcos, TX
• Providers in San Marcos, TX by specialty
• Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.