MARK WILLIAM CVENGROS-EDENS APRN
NPI 1497542773
Nurse Practitioner in Griffin, GA

Q: What is Mark Cvengros-edens's NPI number?

The NPI number for Mark Cvengros-edens is 1497542773. It was assigned to this individual provider in the NPPES registry on April 22, 2025.

Q: What is Mark Cvengros-edens's specialty?

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

Active since April 22, 2025PECOS EnrolledAccepts Medicare Assignment

747 S 8TH ST STE C, GRIFFIN, GA 30224(770) 228-1767(770) 228-7562 Get Directions Write a Review

NPPES record last updated: June 17, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

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About Mark William Cvengros-edens Aprn NPPES

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

MARK WILLIAM CVENGROS-EDENS APRN (NPI 1497542773) is an individual nurse practitioner in Griffin, Georgia, licensed in Georgia (RN296180) and active in the NPI registry since April 2025. He is enrolled in Medicare PECOS, maintains a secondary practice location in Houston, and is a graduate of Other (2024).

NPPES Registry Identity

NPI1497542773

Entity TypeIndividualMale

Primary Taxonomy363L00000X

Provider Legal NameMARK WILLIAM CVENGROS-EDENSCredential: APRN

Location Address747 S 8TH ST STE CGriffin, GA 30224-4884

Mailing AddressPo Box 4439Houston, TX 77210-4439 · (713) 792-2991

Phone(770) 228-1767

Fax(770) 228-7562

Sole ProprietorNo

Medical School CMSOtherGraduated 2024

Enumeration DateApril 22, 2025

Last NPPES UpdateJune 17, 2025

NPPES CertifiedJune 17, 2025

✔ NPI 1497542773 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in GA · RN296180

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 296180 (GA)

Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License 1193193 (TX)

747 S 8TH ST STE C, Griffin, GA 30224

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Secondary Practice Location 1

Location 11515 Holcombe BlvdHouston, TX 77030-4000 · Phone (713) 792-6161

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of Alabama and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mark William Cvengros-edens Aprn 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 ID5991221079

PECOS Enrollment IDI20250725000539

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 Reassignment

Medicare enrollment records show Mark Cvengros-edens reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Nsh Cancer Institute Professional Services G, LLC

47 mi

Hematology & Oncology

1100 JOHNSON FERRY RD NE, SUITE 600
Atlanta, GA 30342

Reassigned Medicare billing, Georgia enrollment
163 clinicians in this Medicare group

NPI 1124379284 (404) 851-6378

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 30224 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

$83.23 typical visit price

range $53.31 – $164.04

Typical copayment $20.80 (range $13.32 – $41.01)

Most-billed visit code 99203

Established Patient

$94.84 typical visit price

range $16.68 – $133.24

Typical copayment $23.71 (range $4.17 – $33.31)

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.

Other Providers at the Same Location NPPES 7

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

MS. ANNE MARIE HAPPE MSN

Nurse Practitioner