Mara Jemeline Mendoza Nisnisan

Primary specialty

Anesthesiologist AssistantTaxonomy code 367H00000X

Practice address

6621 Fannin St Ste A200
Houston, TX 77030-2358

Phone

(832) 824-5800

NPI assigned

Jun 5, 2025

Last updated

Jun 5, 2025By the provider in NPPES

Sex

Unspecified or another gender identity

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Specialty

Anesthesiology Assistant

Education

Other, 2025

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Texas Childrens Physician GroupGroup PAC ID 4385722081, 661 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Texas Children's Physician Group

  • Pediatrics Physician
  • Houston, TX
  • NPI 1861675506
  Medicare reassignment Care Compare group NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1749081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749081600000",
    "number": "1619861424",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5914 BRIAR HILL CT",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774794250",
            "telephone_number": "832-362-7907"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6621 FANNIN ST STE A200",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770302358",
            "telephone_number": "832-824-5800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NISNISAN",
        "first_name": "MARA JEMELINE",
        "middle_name": "MENDOZA",
        "sole_proprietor": "NO",
        "sex": "X",
        "enumeration_date": "2025-06-05",
        "last_updated": "2025-06-05",
        "certification_date": "2025-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367H00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiologist Assistant",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John L Niscavits, CRNA
• Niscot Healthcare Services LLC
• Nishano Thomas DMD PA (Memorial Park Dental)
• Akira Nishikawa, M.D.
• Megumi Karla Nishimori
• Betty L Nissen
• Nissi Home Health Care Agency Inc (Nissi Home Health Care and Personal Assistance Care Services Agency)
• Nissi Medical Corporation
• Nissi Residential Care Home, Inc.
• Nissi Therapeutic and Rehab Services

• Anesthesiologist Assistant in Houston, TX
• Providers in Houston, TX by specialty
• Anesthesiologist Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.

Verify at the official NPI Registry.