MARY JANE LACEDA AVILA FNP-C
NPI 1396564209
Nurse Practitioner - Family in San Antonio, TX
About Mary Jane Laceda Avila Fnp-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MARY JANE LACEDA AVILA FNP-C (NPI 1396564209) is an individual family provider in San Antonio, Texas, licensed in Texas (1176807) and active in the NPI registry since October 2024. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Accepted 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 Jane Laceda Avila Fnp-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 78216 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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 Jane Avila's NPI number?
The NPI number for Mary Jane Avila is 1396564209. It was assigned to this individual provider in the NPPES registry on October 8, 2024.
Where is Mary Jane Avila located?
Mary Jane Avila practices at 622 Isom Rd Ste 101, San Antonio, TX 78216. The listed phone number is (210) 622-8000.
What is Mary Jane Avila's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Mary Jane Avila enrolled in Medicare?
Yes. Mary Jane Avila is registered in the Medicare PECOS enrollment system.
What insurance does Mary Jane Avila accept?
Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 3 other insurers list Mary Jane Avila 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 Jane Avila was last updated on October 8, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.
# Mary Jane Laceda Avila, FNP-C · NPI 1396564209
Family physician in San Antonio, Texas. Individual provider, active in the CMS NPPES registry since October 8, 2024.
## Identity
- **NPI:** 1396564209 (Entity type: Individual)
- **Enumerated:** October 8, 2024
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 1176807 (Texas)
- **Sole proprietor:** No
## Practice location
- **Address:** 622 ISOM RD STE 101, San Antonio, TX 78216-4457
- **Phone:** (210) 622-8000
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
## Record status
- **NPPES last updated:** October 8, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1396564209) · Data from the CMS NPPES public registry.