Individual provider Active NPI

Mara L Martinez, FNP-C

  • Family Nurse Practitioner
  • San Antonio, TX
National Provider Identifier
1578030714
Registry record updated Jun 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP138992 Issued in TX
Practice address
520 Camden St
San Antonio, TX 78215-1924
Phone
(210) 223-3246
NPI assigned
Oct 25, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2024

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 AP138992 TX Primary

Addresses

Primary practice location

520 Camden St
San Antonio, TX 78215-1924

Mailing address

520 Camden St
San Antonio, TX 78215-1924
Phone (210) 223-3246

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
I20250417000934 TX Practitioner - Nurse Practitioner 2668997198 Reassigns benefits to 7 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
Legacy Heart Care of San AntonioGroup PAC ID 9830316645, 12 clinicians

Practice addresses (Care Compare)

8401 Datapoint Dr
Suite 421
San Antonio, TX 78229-5900
Phone (210) 558-1800

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Legacy Heart Care of San Antonio CurrentSince Feb 14, 2025 Accepting new patients
Legacy Heart Care of Grand Prairie, LLC CurrentSince Aug 21, 2025 Accepting new patients
Legacy Heart Care of Fort Worth, LLC CurrentSince Aug 1, 2025 Accepting new patients
Legacy Heart Care of Midtown Austin, LLC CurrentSince Aug 21, 2025 Accepting new patients
Legacy Heartcare of Dallas, LLC CurrentSince Aug 18, 2025 Accepting new patients
Legacy Heart Care of San Antonio CurrentSince Feb 14, 2025 Accepting new patients
Legacy Heart Care of North Dallas, LLC CurrentSince Aug 18, 2025 Accepting new patients
Legacy Heartcare of Dallas, LLC CurrentSince Aug 18, 2025 Accepting new patients
Legacy Heart Care of South Austin, LLC CurrentSince Aug 21, 2025 Accepting new patients
Lisa a. Davis, M.D., P.a. PastSince Jun 9, 2024 Accepting new patients

Locations

7515 Greenville Ave
Ste 1010
Dallas, TX 75231
Phone (972) 838-7255

2500 West Fwy
Ste 200
Ft Worth, TX 76102
Phone (817) 423-4400

4927 Lake Ridge Pkwy
Ste 145
Grand Prairie, TX 75052
Phone (817) 423-4400

1180 Seton Pkwy
Ste 280
Kyle, TX 78640
Phone (817) 710-7644

12702 Toepperwein Rd
Ste 123
Live Oak, TX 78233
Phone (210) 934-4100

7300 Eldorado Pkwy
Ste 105
McKinney, TX 75070
Phone (945) 200-6880

4716 Dexter Dr
Ste 200
Plano, TX 75093
Phone (817) 502-7027

7200 Wyoming Springs Dr
Ste 300
Round Rock, TX 78681
Phone (512) 419-1100

3903 Wiseman Blvd
Ste 114
San Antonio, TX 78251
Phone (210) 256-9467

8401 Datapoint Dr
Ste 421
San Antonio, TX 78229
Phone (210) 558-1800

Interoperability endpoints

  • Direct secure messaging: mara.chappel@4930532081668.direct.elationemr.com

Organizations & group practices 10

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": "1540425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717459200000",
    "number": "1578030714",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "520 CAMDEN ST",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782151924",
            "telephone_number": "210-223-3246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 CAMDEN ST",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782151924",
            "telephone_number": "210-223-3246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTINEZ",
        "first_name": "MARA",
        "middle_name": "L",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-25",
        "last_updated": "2024-06-04",
        "certification_date": "2024-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP138992",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.