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MARA JEMELINE MENDOZA NISNISAN
NPI 1619861424
Anesthesiologist Assistant in Houston, TX

Active since June 05, 2025Accepts Medicare Assignment
6621 FANNIN ST STE A200, HOUSTON, TX 77030(832) 824-5800 Get Directions Write a Review

NPPES record last updated: June 5, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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

NPI1619861424
Entity TypeIndividual
Primary Taxonomy367H00000X
Provider Legal NameMARA JEMELINE MENDOZA NISNISAN
Location Address6621 FANNIN ST STE A200Houston, TX 77030-2358
Mailing Address5914 Briar Hill CtSugar Land, TX 77479-4250 · (832) 362-7907
Phone(832) 824-5800
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateJune 5, 2025
NPPES CertifiedJune 5, 2025
✔ NPI 1619861424 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAnesthesiologist AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367H00000X
Definition
An individual certified by the state to perform anesthesia services under the direct supervision of an anesthesiologist. Anesthesiologist Assistants are required to have a bachelor's degree with a premed curriculum prior to entering a two-year anesthesiology assistant program, which is focused upon the delivery and maintenance of anesthesia care as well as advanced patient monitoring techniques. An Anesthesiologist Assistant must work as a member of the anesthesia care team under the direction of a qualified Anesthesiologist.
6621 FANNIN ST STE A200, Houston, TX 77030
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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

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.

PECOS PAC ID5799264289
PECOS Enrollment IDI20260204004553

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.

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 13 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.