MARA JEMELINE MENDOZA NISNISAN
NPI 1619861424
Anesthesiologist Assistant in Houston, TX
About Mara Jemeline Mendoza Nisnisan NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MARA JEMELINE MENDOZA NISNISAN (NPI 1619861424) is an individual anesthesiologist assistant in Houston, Texas and active in the NPI registry since June 2025. The provider is a graduate of Other (2025).
NPPES Registry Identity
Specialties & Licenses
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
Mara Jemeline Mendoza Nisnisan 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.
Medicare Billing Reassignment
Medicare enrollment records show Mara Jemeline Nisnisan reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Houston, TX 77030
- Reassigned Medicare billing, Texas enrollment
- Medicare enrollment name: Texas Childrens Physician Group
- 2,498 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Mara Jemeline Nisnisan's NPI number?
The NPI number for Mara Jemeline Nisnisan is 1619861424. It was assigned to this individual provider in the NPPES registry on June 5, 2025.
Where is Mara Jemeline Nisnisan located?
Mara Jemeline Nisnisan practices at 6621 Fannin St Ste A200, Houston, TX 77030. The listed phone number is (832) 824-5800.
What is Mara Jemeline Nisnisan's specialty?
The primary specialty registered for this NPI is Anesthesiologist Assistant with taxonomy code 367H00000X.
Is Mara Jemeline Nisnisan enrolled in Medicare?
Yes. Mara Jemeline Nisnisan 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.
Which organization bills Medicare for Mara Jemeline Nisnisan's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Mara Jemeline Nisnisan reassigns Medicare benefits to Texas Children's Physician Group (Houston, TX). The 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 Mara Jemeline Nisnisan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Mara Jemeline Nisnisan was last updated on June 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.
# Mara Jemeline Mendoza Nisnisan · NPI 1619861424
Anesthesiologist Assistant physician in Houston, Texas. Individual provider, active in the CMS NPPES registry since June 5, 2025.
## Identity
- **NPI:** 1619861424 (Entity type: Individual)
- **Enumerated:** June 5, 2025
- **Primary specialty:** Anesthesiologist Assistant · taxonomy 367H00000X
- **Sole proprietor:** No
## Practice location
- **Address:** 6621 FANNIN ST STE A200, Houston, TX 77030-2358
- **Phone:** (832) 824-5800
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Bills Medicare through:** Texas Children's Physician Group (NPI 1861675506, Houston, TX), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2025
## Record status
- **NPPES last updated:** June 5, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1619861424) · Data from the CMS NPPES public registry.