JOHNATAN MARIANO ANP
NPI 1588053409
Nurse Practitioner - Adult Health in Desoto, TX

Active since January 15, 2015PECOS EnrolledAccepts Medicare Assignment
1001 ROBBIE MINCE WAY, DESOTO, TX 75115(972) 709-7190(214) 941-1765 Get Directions Write a Review

NPPES record last updated: January 4, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jan 4, 2022, May 15, 2019, Feb 19, 2019 (3 updates tracked since 2019).

About Johnatan Mariano Anp NPPES

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

JOHNATAN MARIANO ANP (NPI 1588053409) is an individual adult health provider in Desoto, Texas, licensed in Texas (AP126703) and active in the NPI registry since January 2015. He is enrolled in Medicare PECOS, maintains a secondary practice location in North Richland Hills, and is a graduate of Other (2014).

NPPES Registry Identity

NPI1588053409
Entity TypeIndividualMale
Primary Taxonomy363LA2200X
Provider Legal NameJOHNATAN MARIANOCredential: ANP
Location Address1001 ROBBIE MINCE WAYDesoto, TX 75115-2012
Mailing Address8479 Davis Blvd Ste 100North Richland Hills, TX 76182-8604 · (817) 953-8450 · Fax (844) 643-2362
Fax(214) 941-1765
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateJanuary 15, 2015
Last NPPES UpdateJanuary 4, 20223 updates tracked since enumeration
NPI 1588053409 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License Licensed in TX · AP126703
1001 ROBBIE MINCE WAY, Desoto, TX 75115

Secondary Practice Location 1

Location 18479 Davis Blvd Ste 100North Richland Hills, TX 76182-8604 · Phone (817) 953-8450 · Fax (844) 643-2362

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 and accepts Medicare assignment

Johnatan Mariano Anp 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 ID7214956630
PECOS Enrollment IDI20160511001971
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 5

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
141 services115 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
128 services102 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
34 services29 patients
Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306
This is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.
22 services22 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
22 services22 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75115 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
$88.19 typical visit price
range $57.18 – $172.86
Typical copayment $22.04 (range $14.29 – $43.21)
Most-billed visit code 99203
Established Patient
$100.80 typical visit price
range $18.48 – $141.20
Typical copayment $25.20 (range $4.62 – $35.30)
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 11

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

Psychiatry & Neurology (Neurology)
1001 ROBBIE MINCE WAY
DESOTO, TX 75115
Psychiatry & Neurology (Neurology)
1001 ROBBIE MINCE WAY, STE C
DESOTO, TX 75115
Internal Medicine (Pulmonary Disease)
1001 ROBBIE MINCE WAY
DESOTO, TX 75115
Internal Medicine (Pulmonary Disease)
1001 ROBBIE MINCE WAY
DESOTO, TX 75115
Nurse Practitioner (Family)
1001 ROBBIE MINCE WAY
DESOTO, TX 75115
Nurse Practitioner (Adult Health)
1001 ROBBIE MINCE WAY
DESOTO, TX 75115
Psychiatry & Neurology (Neurology)
1001 ROBBIE MINCE WAY
DESOTO, TX 75115
Psychiatry & Neurology (Sleep Medicine)
1001 ROBBIE MINCE WAY
DESOTO, TX 75115

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 Johnatan Mariano's NPI number?

The NPI number for Johnatan Mariano is 1588053409. It was assigned to this individual provider in the NPPES registry on January 15, 2015.

Where is Johnatan Mariano located?

Johnatan Mariano practices at 1001 Robbie Mince Way, Desoto, TX 75115. The listed phone number is (972) 709-7190.

What is Johnatan Mariano's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is Johnatan Mariano enrolled in Medicare?

Yes. Johnatan Mariano 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.

What insurance does Johnatan Mariano 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 4 other insurers list Johnatan Mariano 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 Johnatan Mariano was last updated on January 4, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.