Individual provider Active NPI

Ana Blazek

  • Nurse Practitioner
  • Windcrest, TX
National Provider Identifier
1942964218
Registry record updated Feb 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
1049968 Issued in TX
Practice address
8930 Fourwinds Dr Ste 101
Windcrest, TX 78239-1971
Phone
(210) 653-7444
NPI assigned
Oct 23, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 1049968 TX Primary

Addresses

Primary practice location

8930 Fourwinds Dr Ste 101
Windcrest, TX 78239-1971

Mailing address

1127 W Lullwood Ave
San Antonio, TX 78201-4620
Phone (870) 476-1316

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20260512001836 TX Practitioner - Nurse Practitioner 0941779656 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Texas a & M University System, HSC, College of Medicine, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Texas Healthnet Medical Clinic LTDGroup PAC ID 1254354590, 11 clinicians

Practice addresses (Care Compare)

12730 W Ih
10 Suite 306
San Antonio, TX 78230-1004
Phone (210) 877-0772

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1049968TXMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Texas Healthnet Medical Clinic LTD. CurrentSince Nov 20, 2022 Accepting new patients

Locations

8930 Fourwinds Dr
Ste 101
Windcrest, TX 78239
Phone (210) 495-8788

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1634947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675209600000",
    "number": "1942964218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1127 W LULLWOOD AVE",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782014620",
            "telephone_number": "870-476-1316"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8930 FOURWINDS DR STE 101",
            "city": "WINDCREST",
            "state": "TX",
            "postal_code": "782391971",
            "telephone_number": "210-653-7444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLAZEK",
        "first_name": "ANA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-23",
        "last_updated": "2023-02-01",
        "certification_date": "2023-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "1049968",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Windcrest, TX

Sources for this page

Verify at the official NPI Registry.