Individual provider Active NPI

Mackenzie Ponnapalli, AG-CNS

  • Clinical Nurse Specialist
  • Houston, TX
National Provider Identifier
1396331302
Registry record updated Oct 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Nurse SpecialistTaxonomy code 364S00000X
License
1012648 Issued in TX
Practice address
7200 Cambridge St FL 6
Houston, TX 77030-4202
Phone
(713) 798-2545
NPI assigned
Dec 14, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Nurse Specialist 364S00000X 1012648 TX Primary
Gerontology Clinical Nurse Specialist 364SG0600X 1012648 TX

Addresses

Primary practice location

7200 Cambridge St FL 6
Houston, TX 77030-4202

Mailing address

1331 W Grand Pkwy N Ste 130
Katy, TX 77493-2711
Phone (281) 646-9000

Other practice location 1

20710 Westheimer Pkwy
Katy, TX 77450-6256
Phone (281) 646-9000

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
I20210225002186 TX Practitioner - Certified Clinical Nurse Specialist (CNS) 9234544230 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Clinical Nurse Specialist (CNS)
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Memorial City Cardiology Associates PAGroup PAC ID 1557376167, 30 clinicians
Houston Cardiovascular Assoc PAGroup PAC ID 7911992151, 82 clinicians

Practice addresses (Care Compare)

20710 Westheimer Pkwy
Katy, TX 77450-6256
Phone (281) 646-9000

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1012648TXMDClinical Nurse Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Baylor College of Medicine CurrentSince Jan 1, 2021 Accepting new patients
Houston Cardiovascular Assoc PA CurrentSince Feb 1, 2025 Accepting new patients
Baylor College of Medicine CurrentSince Jan 1, 2021 Accepting new patients
Houston Cardiovascular Assoc PA CurrentSince Feb 1, 2025 Accepting new patients
Memorial City Cardiology Associates PA CurrentSince Aug 12, 2024 Accepting new patients
Memorial City Cardiology Associates PA CurrentSince Aug 12, 2024 Accepting new patients

Locations

341 Cool Springs Blvd
Ste 305
Franklin, TN 37067
Phone (972) 391-1915

7200 Cambridge St
Fl 6
Houston, TX 77030
Phone (713) 798-2545

6441 Main St
Houston, TX 77030
Phone (713) 790-0500

7200 Cambridge St
Ste C
Houston, TX 77030

7200 Cambridge St
Fl 1
Houston, TX 77030
Phone (713) 798-3924

2 Greenway Plz
Ste 900
Houston, TX 77046
Phone (713) 798-1835

1331 W Grand Pkwy N
Ste 13
Katy, TX 77493
Phone (281) 392-3401

20710 Westheimer Pkwy
Katy, TX 77450
Phone (281) 646-9000

1331 W Grand Pkwy N
Ste 130
Katy, TX 77493
Phone (281) 392-3401

16605 Southwest Fwy
Ste 360
Sugar Land, TX 77479
Phone (713) 558-9508

Interoperability endpoints

  • Direct secure messaging: mackenzie.ponnapalli@ushv.eclinicaldirectplus.com

Organizations & group practices 7

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": "1607904000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761177600000",
    "number": "1396331302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1331 W GRAND PKWY N STE 130",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774932711",
            "telephone_number": "281-646-9000",
            "fax_number": "281-206-2311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7200 CAMBRIDGE ST FL 6",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770304202",
            "telephone_number": "713-798-2545"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "20710 Westheimer Pkwy",
            "address_purpose": "LOCATION",
            "city": "Katy",
            "state": "TX",
            "postal_code": "774506256",
            "country_code": "US",
            "telephone_number": "281-646-9000",
            "fax_number": "281-206-2311",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PONNAPALLI",
        "first_name": "MACKENZIE",
        "credential": "AG-CNS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-12-14",
        "last_updated": "2025-10-23",
        "certification_date": "2025-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364S00000X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist",
            "state": "TX",
            "license": "1012648",
            "primary": true
        },
        {
            "code": "364SG0600X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Gerontology",
            "state": "TX",
            "license": "1012648",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.