Individual provider Active NPI

Mary A Plattner, N.P.

  • Family Nurse Practitioner
  • Laredo, TX
National Provider Identifier
1124005426
Registry record updated Feb 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP113371 Issued in TX
Practice address
2344 Laguna del Mar CT Ste 104
Laredo, TX 78041-3468
Phone
(956) 847-6127
Fax
(956) 602-0562
NPI assigned
Dec 28, 2005
Last updated
Feb 11, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2025

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 AP113371 TX Primary

Addresses

Primary practice location

2344 Laguna del Mar CT Ste 104
Laredo, TX 78041-3468

Mailing address

2344 Laguna del Mar CT Ste 104
Laredo, TX 78041-3468
Phone (956) 847-6127

Other identifiers 2

IdentifierTypeStateIssuer
P00187384OtherTXRAILROAD MEDICARE
170761401MedicaidTX

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
I20041206001185 TX Practitioner - Nurse Practitioner 6507761103 Reassigns benefits to 1 organization
Practice locations: Laredo, TX; Zapata, TX

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2344 Laguna del Mar CT
Suite 104
Laredo, TX 78041-3468
Phone (956) 847-6127

6416 Polaris Dr
Laredo, TX 78041-2088

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP113371TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Andres Garcia Zuniga MD PA CurrentSince Mar 30, 2025 Accepting new patients
Obstetrics and Gynecology Associates of Laredo, P.a. Past Accepting new patients
Johol C Chan DO PA PastSince Sep 1, 2002 Accepting new patients

Locations

6416 Polaris Dr
Ste 2
Laredo, TX 78041
Phone (956) 568-5140

105 S US Highway 83
Zapata, TX 78076
Phone (956) 728-8121

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

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

NPI Registry JSON

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

{
    "created_epoch": "1135728000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739232000000",
    "number": "1124005426",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2344 LAGUNA DEL MAR CT STE 104",
            "city": "LAREDO",
            "state": "TX",
            "postal_code": "780413468",
            "telephone_number": "956-847-6127",
            "fax_number": "956-765-3484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2344 LAGUNA DEL MAR CT STE 104",
            "city": "LAREDO",
            "state": "TX",
            "postal_code": "780413468",
            "telephone_number": "956-847-6127",
            "fax_number": "956-602-0562"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PLATTNER",
        "first_name": "MARY",
        "middle_name": "A",
        "credential": "N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-28",
        "last_updated": "2025-02-11",
        "certification_date": "2025-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP113371",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00187384",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "170761401",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Laredo, TX

Sources for this page

Verify at the official NPI Registry.