Individual provider Active NPI

Marija Ziramov Nielsen, FNP

  • Family Nurse Practitioner
  • San Antonio, TX
National Provider Identifier
1184090821
Registry record updated Sep 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP129546 Issued in TX
Practice address
14100 San Pedro Ave
#412
San Antonio, TX 78232-4361
Phone
(210) 281-8669
Fax
(210) 314-5044
NPI assigned
Aug 17, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2026

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 AP129546 TX Primary

Addresses

Primary practice location

14100 San Pedro Ave
#412
San Antonio, TX 78232-4361

Mailing address

12231 Painted Daisy
San Antonio, TX 78253-5715
Phone (210) 259-5527

Other practice location 1

3611 Jaguar Pkwy
San Antonio, TX 78224-3271
Phone (726) 236-9560

Other practice location 2

3860 E Ih 10
San Antonio, TX 78220-4063
Phone (210) 644-5060

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
I20240923004219 TX Practitioner - Nurse Practitioner 2264973866 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Community Medicine Associates CurrentSince Sep 11, 2024 Accepting new patients

Locations

903 W Martin St
Ste 492
San Antonio, TX 78207

903 W Martin St
#492
San Antonio, TX 78207
Phone (210) 358-3441

Interoperability endpoints

  • Direct secure messaging: mnielsen591183@uhssa.direct-ci.com

Organizations & group practices 1

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": "1439769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788998400000",
    "number": "1184090821",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12231 PAINTED DAISY",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782535715",
            "telephone_number": "210-259-5527"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14100 SAN PEDRO AVE",
            "address_2": "#412",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782324361",
            "telephone_number": "210-281-8669",
            "fax_number": "210-314-5044"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3611 Jaguar Pkwy",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782243271",
            "country_code": "US",
            "telephone_number": "726-236-9560",
            "fax_number": "210-702-6896",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3860 E IH 10",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782204063",
            "country_code": "US",
            "telephone_number": "210-644-5060",
            "fax_number": "210-702-6926",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NIELSEN",
        "first_name": "MARIJA",
        "middle_name": "ZIRAMOV",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-08-17",
        "last_updated": "2026-09-10",
        "certification_date": "2026-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP129546",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.