Active NPI
Mario Cendan, NP
- Gerontology Nurse Practitioner
- Cedar Park, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gerontology Nurse Practitioner
- License
- AP137701
- Practice address
- 1905 S Lakeline Blvd Ste 4
Cedar Park, TX 78613-4660 - Phone
- (512) 553-1921
- NPI assigned
- Jun 14, 2018
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gerontology Nurse Practitioner | 363LG0600X | AP137701 | TX | Primary |
Addresses
Primary practice location
1905 S Lakeline Blvd Ste 4
Cedar Park, TX 78613-4660
Mailing address
1905 S Lakeline Blvd Ste 4
Cedar Park, TX 78613-4660
Phone (512) 553-1921
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20181015000425 | TX | Practitioner - Nurse Practitioner | 7315299633 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Seton Family of Doctors
Practice addresses (Care Compare)
1101 Wolf Lake Dr
Georgetown, TX 78628-3778
301 Seton Pkwy
Round Rock, TX 78665-8003
6001 Kyle Pkwy
Kyle, TX 78640-6112
Phone (512) 504-5000
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Outcomes Wound Therapy PLLC | Current | Accepting new patients | |
| Seton Family of Doctors | Current | Accepting new patients | |
| Seton Family of Doctors | Current | Accepting new patients | |
| Outcomes Therapy Ops | Past | Accepting new patients |
Locations
13915 Burnet Rd
Ste 103
Austin, TX 78728
Phone (512) 710-6516
1400 N Interstate 35
Ste 300
Austin, TX 78701
Phone (512) 324-8300
6001 Kyle Pkwy
Kyle, TX 78640
Phone (512) 504-5000
301 Seton Pkwy
Ste 302
Round Rock, TX 78665
Phone (512) 324-4812
Interoperability endpoints
- mario.cendan.1@8363.direct.athenahealth.com
- 2375-cendan-mario@direct.leadingreach.com
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.
-
- Radiology Clinic/Center
- Austin, TX
- NPI 1275290694
-
- Physical Therapist
- Austin, TX
- NPI 1639635394
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1528934400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1528934400000",
"number": "1124512082",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1905 S LAKELINE BLVD STE 4",
"city": "CEDAR PARK",
"state": "TX",
"postal_code": "786134660",
"telephone_number": "512-553-1921"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1905 S LAKELINE BLVD STE 4",
"city": "CEDAR PARK",
"state": "TX",
"postal_code": "786134660",
"telephone_number": "512-553-1921"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CENDAN",
"first_name": "MARIO",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-06-14",
"last_updated": "2018-06-14",
"status": "A"
},
"taxonomies": [
{
"code": "363LG0600X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Gerontology",
"state": "TX",
"license": "AP137701",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cedar Park, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.