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MARY ANGELA MCINNIS DNP, APRN, ENP, FNP
NPI 1134399751
Nurse Practitioner in Tyler, TX

Active since March 11, 2008PECOS Enrolled
1303 ELK RIVER RD, TYLER, TX 75703(713) 397-9773 Get Directions Write a Review

NPPES record last updated: April 17, 2017. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Mary Angela Mcinnis Dnp, Aprn, Enp, Fnp NPPES

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

MARY ANGELA MCINNIS DNP, APRN, ENP, FNP (NPI 1134399751) is an individual nurse practitioner in Tyler, Texas, licensed in Texas (671796) and active in the NPI registry since March 2008. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1134399751
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameMARY ANGELA MCINNISCredential: DNP, APRN, ENP, FNP
Location Address1303 ELK RIVER RDTyler, TX 75703-7456
Mailing Address1303 Elk River RdTyler, TX 75703-7456 · (713) 397-9773
Phone(713) 397-9773
Sole ProprietorNo
Enumeration DateMarch 11, 2008
Last NPPES UpdateApril 17, 2017
✔ NPI 1134399751 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in TX · 671796
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Also ListedRegistered NurseTaxonomy 163W00000X · License 671796 (TX)
1303 ELK RIVER RD, Tyler, TX 75703
Open in Google Maps ↗

Other Identifiers 1

Other671796TX · License

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, CHRISTUS Health Plan.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mary Angela Mcinnis Dnp, Aprn, Enp, Fnp 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.

Medicare Billing Reassignments

3

Medicare enrollment records show Mary Mcinnis reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

University Of Texas Health Science Center At Tyler
12 mi
Nurse Anesthetist, Certified Registered
11937 US HIGHWAY 271
Tyler, TX 75708
  • Reassigned Medicare billing, Texas enrollment
  • Medicare enrollment name: University Of Texas Health Science Center At Tyler-Facilty-Physician
  • 299 clinicians in this Medicare group
NPI 1992868186 (903) 877-7777
Family First Urgent Care PLLC
20 mi
Urgent Care
2116 E RUSK ST
Jacksonville, TX 75766
  • Reassigned Medicare billing, Texas enrollment
  • 8 clinicians in this Medicare group
NPI 1639506876 (903) 284-6105
Acs Primary Care Physicians Southwest, PA
144 mi
Emergency Medicine
1900 HOSPITAL BLVD
Gainesville, TX 76240
  • Reassigned Medicare billing, Texas enrollment
  • 1,193 clinicians in this Medicare group
NPI 1538101019 (925) 924-1600

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75703 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
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
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.

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 Mcinnis's NPI number?

The NPI number for Mary Mcinnis is 1134399751. It was assigned to this individual provider in the NPPES registry on March 11, 2008.

Where is Mary Mcinnis located?

Mary Mcinnis practices at 1303 Elk River Rd, Tyler, TX 75703. The listed phone number is (713) 397-9773.

What is Mary Mcinnis's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Mary Mcinnis enrolled in Medicare?

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

Which organizations bill Medicare for Mary Mcinnis's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mary Mcinnis reassigns Medicare benefits to 3 organizations: University Of Texas Health Science Center At Tyler (Tyler, TX), Family First Urgent Care PLLC (Jacksonville, TX) and Acs Primary Care Physicians Southwest, PA (Gainesville, TX). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Mary Mcinnis's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Mary Mcinnis accept?

Health plans from Blue Cross and Blue Shield of Texas and CHRISTUS Health Plan list Mary Mcinnis 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 Mcinnis was last updated on April 17, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years 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.