Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mary Katherine Bleitner

Individual provider Pediatric Nurse Practitioner · NPI 1104691724

Mary Katherine Bleitner is a Nurse Practitioner in Georgetown, Texas. Qualified in 2023, 3 years ago. Licensed in Missouri.

Years since qualifying
3
Licensed in
MO
In the registry since
2023

Practice location Address checks out

600 High Tech Dr
Georgetown, TX 78626-8185
Phone: (512) 930-4776
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Nurse Practitioner (primary) Taxonomy 363LP0200X · Licence 202326272 (MO)

Record details

NPI number1104691724
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedNovember 24, 2023
Last updated in NPPESNovember 24, 2023
Certification dateNovember 24, 2023
Mailing address1000 San Marcos St Unit 253, Austin, TX 78702-2664

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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