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MARY CLAIRE DUNCAN CNM
NPI 1124854229
Advanced Practice Midwife in Austin, TX

Active since September 13, 2024PECOS Enrolled
1201 W 38TH ST, AUSTIN, TX 78705(512) 324-1000 Get Directions Write a Review

NPPES record last updated: December 18, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 18, 2024, Sep 13, 2024 (2 updates tracked since 2024).

About Mary Claire Duncan Cnm NPPES

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

MARY CLAIRE DUNCAN CNM (NPI 1124854229) is an individual advanced practice midwife in Austin, Texas and active in the NPI registry since September 2024. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1124854229
Entity TypeIndividualFemale
Primary Taxonomy367A00000X
Provider Legal NameMARY CLAIRE DUNCANCredential: CNM
Location Address1201 W 38TH STAustin, TX 78705-1006
Mailing Address1021 Chasemore DrMansfield, TX 76063-2656 · (682) 465-7794
Phone(512) 324-1000
Sole ProprietorNo
Enumeration DateSeptember 13, 2024
Last NPPES UpdateDecember 18, 20242 updates tracked since enumeration
NPPES CertifiedDecember 18, 2024
✔ NPI 1124854229 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAdvanced Practice MidwifePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367A00000X
Definition
Advanced practice midwifery encompasses the independent provision of care during pregnancy, childbirth, and the postpartum period; sexual and reproductive health; gynecologic health; and family planning services, including preconception care. Midwives also provide primary care for individuals from adolescence throughout the lifespan as well as care for the healthy newborn during the first 28 days of life. Midwives provide initial and ongoing comprehensive assessment, diagnosis, and treatment. Midwifery care includes health promotion, disease prevention, risk assessment and management, and individualized wellness education and counseling. Source: American College of Nurse-Midwives, www.midwife.org Additional Resources: See the American College of Nurse-Midwives, www.midwife.org, for more information on Certified Nurse-Midwives, Certified Midwives, the American Midwifery Certification Board (AMCB), and licensure.
1201 W 38TH ST, Austin, TX 78705
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, Oscar Insurance Company, Sendero Health Plans, Local Nonprofit.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mary Claire Duncan Cnm is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78705 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
$89.03 typical visit price
range $57.88 – $174.00
Typical copayment $22.25 (range $14.47 – $43.50)
Most-billed visit code 99203
Established Patient
$71.95 typical visit price
range $18.88 – $142.23
Typical copayment $17.98 (range $4.72 – $35.55)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

PRIYANKA GURRU
Psychiatry & Neurology (Neurology)
1201 W 38TH ST
AUSTIN, TX 78705
Travis County (512) 495-5555
MRS. JESSICA WILLS FNP-C
Nurse Practitioner (Family)
1201 W 38TH ST
AUSTIN, TX 78705
Travis County (512) 324-1000
CHLOE CULLEN RN
Registered Nurse (Critical Care Medicine)
1201 W 38TH ST
AUSTIN, TX 78705
Travis County (512) 324-1000
THERESA CAROLINE THORNHILL
Nurse Practitioner (Neonatal)
1201 W 38TH ST
AUSTIN, TX 78705
Travis County (512) 324-1085
DR. DONALD KYLE KELLEY M.D.
Pediatrics (Neonatal-Perinatal Medicine)
1201 W 38TH ST, NEONATAL OFFICE
AUSTIN, TX 78705
Travis County (512) 324-1086
KYLE ALEXANDER SCHWARTZ PA-C
Physician Assistant
1201 W 38TH ST
AUSTIN, TX 78705
Travis County (512) 324-1000
DR. MELODY S NGUYEN DNP, APRN CPNP-PC
Nurse Practitioner (Pediatrics)
1201 W 38TH ST
AUSTIN, TX 78705
Travis County (512) 324-1000
KENNETH WILLIAM DOMUCZICZ JR. MD
Emergency Medicine
1201 W 38TH ST, #101
AUSTIN, TX 78705
Travis County (512) 324-1010

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 Duncan's NPI number?

The NPI number for Mary Duncan is 1124854229. It was assigned to this individual provider in the NPPES registry on September 13, 2024.

Where is Mary Duncan located?

Mary Duncan practices at 1201 W 38th St, Austin, TX 78705. The listed phone number is (512) 324-1000.

What is Mary Duncan's specialty?

The primary specialty registered for this NPI is Advanced Practice Midwife with taxonomy code 367A00000X.

Is Mary Duncan enrolled in Medicare?

Yes. Mary Duncan is registered in the Medicare PECOS enrollment system.

What insurance does Mary Duncan accept?

Health plans from Blue Cross and Blue Shield of Texas, Oscar Insurance Company and Sendero Health Plans, Local Nonprofit list Mary Duncan as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Mary Duncan was last updated on December 18, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.