Individual provider Active NPI

Mary Steele Mock, FNP-BC

  • Family Nurse Practitioner
  • Savannah, TX
National Provider Identifier
1760168454
Registry record updated Jun 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1127003 Issued in TX
Practice address
1729 Mercer Way
Savannah, TX 76227-7732
Phone
(662) 897-1161
NPI assigned
Jun 26, 2023
Last updated
Jun 26, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2023

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 1127003 TX Primary

Addresses

Primary practice location

1729 Mercer Way
Savannah, TX 76227-7732

Mailing address

1729 Mercer Way
Savannah, TX 76227-7732

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
I20231013001195 TX Practitioner - Nurse Practitioner 9234584087 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Cfma Denton PLLCGroup PAC ID 7517349491, 3 clinicians

Practice addresses (Care Compare)

3105 Colorado Blvd
Denton, TX 76210-6893
Phone (940) 383-3444

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1127003TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Cfma Denton PLLC CurrentSince Sep 1, 2023 Accepting new patients

Locations

3105 Colorado Blvd
Denton, TX 76210
Phone (940) 383-3444

3537 S Interstate 35 E
Ste 120
Denton, TX 76210
Phone (940) 384-3640

251 E Southlake Blvd
Southlake, TX 76092
Phone (817) 424-0971

Interoperability endpoints

  • Direct secure messaging: mary.steele.mock.1@11970.direct.athenahealth.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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

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": "1687737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687737600000",
    "number": "1760168454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1729 MERCER WAY",
            "city": "SAVANNAH",
            "state": "TX",
            "postal_code": "762277732"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1729 MERCER WAY",
            "city": "SAVANNAH",
            "state": "TX",
            "postal_code": "762277732",
            "telephone_number": "662-897-1161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOCK",
        "first_name": "MARY STEELE",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-26",
        "last_updated": "2023-06-26",
        "certification_date": "2023-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1127003",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Savannah, TX

Sources for this page

Verify at the official NPI Registry.