Individual provider Active NPI

Marisa Brianna Narvaez, ACNP-BC

  • Acute Care Nurse Practitioner
  • San Antonio, TX
National Provider Identifier
1679175574
Registry record updated Jun 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
1013529 Issued in TX
Practice address
215 N San Saba Ste 301
San Antonio, TX 78207-3164
Phone
(210) 212-8622
Fax
(210) 212-9197
NPI assigned
Nov 15, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 1013529 TX
Gerontology Nurse Practitioner 363LG0600X 1013529 TX
Acute Care Nurse Practitioner 363LA2100X 1013529 TX Primary

Addresses

Primary practice location

215 N San Saba Ste 301
San Antonio, TX 78207-3164

Mailing address

215 N San Saba Ste 301
San Antonio, TX 78207-3164
Phone (210) 212-8622

Other practice location 1

12970 Toepperwein Rd Ste 102
Live Oak, TX 78233-4768
Phone (210) 664-0717

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
I20201123002278 TX Practitioner - Nurse Practitioner 5294998340 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
M Reza Mizani MD PAGroup PAC ID 5294709689, 28 clinicians

Practice addresses (Care Compare)

215 N San Saba
Suite 301
San Antonio, TX 78207-3164
Phone (210) 212-8622

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
M. Reza Mizani, M.D., P.a. CurrentSince Jul 1, 2022 Accepting new patients
Michael E Lozano MD PA CurrentSince Nov 1, 2020 Accepting new patients
M. Reza Mizani, M.D., P.a. CurrentSince Jul 1, 2022 Accepting new patients

Locations

205 22nd St
Hondo, TX 78861
Phone (830) 426-2753

12970 Toepperwein Rd
Live Oak, TX 78233
Phone (210) 664-0717

12970 Toepperwein Rd
Ste 102
Live Oak, TX 78233
Phone (210) 664-0717

215 N San Saba
Ste 301
San Antonio, TX 78207
Phone (210) 212-8984

343 W Houston St
Ste 609
San Antonio, TX 78205
Phone (210) 212-4595

12446 West Ave
Ste 200
San Antonio, TX 78216
Phone (210) 690-0230

Interoperability endpoints

  • Direct secure messaging: marisanarvaez@pvapa.allscriptsdirect.net

Organizations & group practices 3

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1605398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656028800000",
    "number": "1679175574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 N SAN SABA STE 301",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782073164",
            "telephone_number": "210-212-8622",
            "fax_number": "210-212-9197"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 N SAN SABA STE 301",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782073164",
            "telephone_number": "210-212-8622",
            "fax_number": "210-212-9197"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12970 Toepperwein Rd Ste 102",
            "address_purpose": "LOCATION",
            "city": "Live Oak",
            "state": "TX",
            "postal_code": "782334768",
            "country_code": "US",
            "telephone_number": "210-664-0717",
            "fax_number": "210-664-0719",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NARVAEZ",
        "first_name": "MARISA",
        "middle_name": "BRIANNA",
        "credential": "ACNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-11-15",
        "last_updated": "2022-06-24",
        "certification_date": "2022-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "1013529",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "TX",
            "license": "1013529",
            "primary": false
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "TX",
            "license": "1013529",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.