MARY JANE CONCEPCION FNP
NPI 1033496138
Nurse Practitioner - Family in Houston, TX

Active since November 03, 2011PECOS EnrolledAccepts Medicare Assignment
91.34/100
CMS Quality Rating
6720 BERTNER AVE, HOUSTON, TX 77030(713) 798-1000 Get Directions Write a Review

NPPES record last updated: April 24, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Apr 24, 2024, May 10, 2023 (2 updates tracked since 2023).

About Mary Jane Concepcion Fnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARY JANE CONCEPCION FNP (NPI 1033496138) is an individual family provider in Houston, Texas, licensed in Texas (AP102959) and active in the NPI registry since November 2011. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2011).

NPPES Registry Identity

NPI1033496138
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMARY JANE CONCEPCIONCredential: FNP
Location Address6720 BERTNER AVEHouston, TX 77030-2604
Mailing Address7200 Cambridge St Fl 3Houston, TX 77030-4202 · (713) 798-4047
Sole ProprietorNo
Medical School CMSOtherGraduated 2011
Enumeration DateNovember 3, 2011
Last NPPES UpdateApril 24, 20242 updates tracked since enumeration
NPPES CertifiedApril 24, 2024
NPI 1033496138 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
Licenses Licensed in TX · AP102959 Licensed in TX · 693141
Also ListedNurse PractitionerTaxonomy 363L00000X · License 693141 (TX)
6720 BERTNER AVE, Houston, TX 77030

Secondary Practice Locations 2

Location 11318 BroadwayLubbock, TX 79401-3206 · Phone (806) 765-2611 · Fax (806) 741-3016
Location 21515 Holcombe BlvdHouston, TX 77030-4000 · Phone (713) 792-6161

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Mary Jane Concepcion Fnp is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID941468862
PECOS Enrollment IDI20160928002292
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
107 services58 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
38 services27 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
20 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77030 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$90.40 typical visit price
range $58.24 – $176.98
Typical copayment $22.60 (range $14.56 – $44.24)
Most-billed visit code 99203
Established Patient
$102.71 typical visit price
range $18.60 – $143.93
Typical copayment $25.67 (range $4.65 – $35.98)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

91.34/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality81.64
Promoting Interoperability89.13
Improvement Activities40

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Anesthesiology
6720 BERTNER AVE
HOUSTON, TX 77030
Radiology (Vascular & Interventional Radiology)
6720 BERTNER AVE
HOUSTON, TX 77030
Internal Medicine (Critical Care Medicine)
6720 BERTNER AVE
HOUSTON, TX 77030
Anesthesiology
6720 BERTNER AVE
HOUSTON, TX 77030
Internal Medicine
6720 BERTNER AVE
HOUSTON, TX 77030
Nurse Anesthetist, Certified Registered
6720 BERTNER AVE
HOUSTON, TX 77030
Anesthesiologist Assistant
6720 BERTNER AVE
HOUSTON, TX 77030
Anesthesiology
6720 BERTNER AVE
HOUSTON, TX 77030

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mary Concepcion's NPI number?

The NPI number for Mary Concepcion is 1033496138. It was assigned to this individual provider in the NPPES registry on November 3, 2011.

Where is Mary Concepcion located?

Mary Concepcion practices at 6720 Bertner Ave, Houston, TX 77030. The listed phone number is (713) 798-1000.

What is Mary Concepcion's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Mary Concepcion enrolled in Medicare?

Yes. Mary Concepcion is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Mary Concepcion was last updated on April 24, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.