Individual provider Active NPI

Mary Mazer, NP

  • Family Nurse Practitioner
  • New Braunfels, TX
National Provider Identifier
1083982383
Registry record updated May 3, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
709780 Issued in TX
Practice address
212 Hunters VLG
Ste. 105
New Braunfels, TX 78132-4803
Phone
(830) 625-7612
Fax
(830) 627-9357
NPI assigned
Dec 1, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 3, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 709780 TX Primary

Addresses

Primary practice location

212 Hunters VLG
Ste. 105
New Braunfels, TX 78132-4803

Mailing address

212 Hunters VLG
Ste. 105
New Braunfels, TX 78132-4803
Phone (830) 625-7612

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
I20120510000431 TX Practitioner - Nurse Practitioner 5092977959 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
709780TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
South Texas Oncology and Hematology, PLLC CurrentSince May 23, 2016 Accepting new patients
South Texas Oncology and Hematology, PLLC CurrentSince May 23, 2016 Accepting new patients
Central Texas Allergy & Asthma, PA Past Accepting new patients
Alamo Childrens Heart Center, PA Past Accepting new patients

Locations

5715 Rogers Rd
San Antonio, TX 78251

4383 Medical Dr
San Antonio, TX 78229
Phone (210) 593-2584

Organizations & group practices 4

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": "1322697600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1462233600000",
    "number": "1083982383",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "212 HUNTERS VLG",
            "address_2": "STE. 105",
            "city": "NEW BRAUNFELS",
            "state": "TX",
            "postal_code": "781324803",
            "telephone_number": "830-625-7612",
            "fax_number": "830-627-9357"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "212 HUNTERS VLG",
            "address_2": "STE. 105",
            "city": "NEW BRAUNFELS",
            "state": "TX",
            "postal_code": "781324803",
            "telephone_number": "830-625-7612",
            "fax_number": "830-627-9357"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAZER",
        "first_name": "MARY",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-12-01",
        "last_updated": "2016-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "709780",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Braunfels, TX

Sources for this page

Verify at the official NPI Registry.