Individual provider Active NPI

Mario Cendan, NP

  • Gerontology Nurse Practitioner
  • Cedar Park, TX
National Provider Identifier
1124512082
Registry record updated Jun 14, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
AP137701 Issued in TX
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

Updated by the provider on Jun 14, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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 785 clinicians

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

OrganizationSpecialtyStatusNew patients
Outcomes Wound Therapy PLLC CurrentSince Aug 22, 2025 Accepting new patients
Seton Family of Doctors CurrentSince Feb 14, 2022 Accepting new patients
Seton Family of Doctors CurrentSince Feb 14, 2022 Accepting new patients
Outcomes Therapy Ops PastSince Aug 1, 2019 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

  • Direct secure messaging: mario.cendan.1@8363.direct.athenahealth.com
  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.