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

Mrs. Kelly Marie Pantazo, NP-C

Individual provider Family Nurse Practitioner · NPI 1306326855

Mrs. Kelly Marie Pantazo, NP-C is a Nurse Practitioner in Imperial, Missouri. Qualified in 2018, 8 years ago. Practices with Mercy ACO Clinical Services Inc, a 138-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Missouri.

Years since qualifying
8
Licensed in
MO
In the registry since
2018
What do these letters mean?
NP-C — Nurse Practitioner, Certified
A nurse practitioner certified by the AANP.

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Practice location Address checks out

3647 Kneff Farm Xing
Imperial, MO 63052-2887
Phone: (314) 882-1978
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 2018024080 (MO)

Record details

NPI number1306326855
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP-C
Sole proprietorNo
NPI enumeratedAugust 15, 2018
Last updated in NPPESAugust 15, 2018

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Mercy Aco Clinical Services Inc — 138 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Imperial