MARI VAN DER WALT AGACNP-BC
NPI 1932075504
Nurse Practitioner - Acute Care in Webster, TX

Q: What is Mari Van Der Walt's NPI number?

The NPI number for Mari Van Der Walt is 1932075504. It was assigned to this individual provider in the NPPES registry on October 13, 2025.

Q: What is Mari Van Der Walt's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Q: When was this NPI record last updated?

The NPPES record for Mari Van Der Walt was last updated on June 10, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since October 13, 2025PECOS Enrolled

200 BLOSSOM ST, WEBSTER, TX 77598(832) 632-6500 Get Directions Write a Review

NPPES record last updated: June 10, 2026. Verified against the NPPES registry weekly; last sync: August 23, 2026.

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About Mari Van Der Walt Agacnp-bc NPPES

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

MARI VAN DER WALT AGACNP-BC (NPI 1932075504) is an individual acute care provider in Webster, Texas, licensed in Texas (1212076) and active in the NPI registry since October 2025. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2025).

NPPES Registry Identity

NPI1932075504

Entity TypeIndividualFemale

Primary Taxonomy363LA2100X

Provider Legal NameMARI VAN DER WALTCredential: AGACNP-BC

Location Address200 BLOSSOM STWebster, TX 77598-4204

Mailing Address18333 Egret Bay Blvd Ste 140Houston, TX 77058-3239 · (281) 332-3001 · Fax (281) 332-3005

Phone(832) 632-6500

Sole ProprietorNo

Medical School CMSOtherGraduated 2025

Enumeration DateOctober 13, 2025

Last NPPES UpdateJune 10, 2026

NPPES CertifiedJune 10, 2026

✔ NPI 1932075504 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LA2100X

License✔ Licensed in TX · 1212076

200 BLOSSOM ST, Webster, TX 77598

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Secondary Practice Locations 2

Location 11302 W Forest DrHouston, TX 77043-4524 · Phone (816) 803-1910

Location 218333 Egret Bay Blvd Ste 140Houston, TX 77058-3239 · Phone (281) 332-3001

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mari Van Der Walt Agacnp-bc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID941773857

PECOS Enrollment IDI20260623001561

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77598 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

$90.40 typical visit price

range $58.24 – $176.98

Typical copayment $22.60 (range $14.56 – $44.24)

Most-billed visit code 99203

Established Patient

$102.71 typical visit price

range $18.60 – $143.93

Typical copayment $25.67 (range $4.65 – $35.98)

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 20

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

VALERIE NICOLE ESPINOZA RN

Registered Nurse (Emergency)