MACKENZIE PONNAPALLI (AG-CNS) – Clinical Nurse Specialist, NPI 1396331302

MACKENZIE PONNAPALLI (AG-CNS) is a healthcare provider. based in Houston, Texas. specializing in CERTIFIED CLINICAL NURSE SPECIALIST (CNS). They hold the professional credentials AG-CNS. They hold a License No. 1012648 (TX). The NPI Number for MACKENZIE PONNAPALLI (AG-CNS) is 1396331302

Main info

Female
6 Years Of Experience
Accepts Medicare Assignment
Name
MACKENZIE PONNAPALLI (AG-CNS)
NPI
1396331302
Phone
(832) 355-1000
Address
7200 CAMBRIDGE ST STE C
Enumeration Date
14 December 2020
Last Update Date
23 October 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2816469000
Graduation Year
2020 (6 years ago)
PAC ID
9234544230
Group Practice PAC ID
7911992151
Professional Enrollment ID
I20210225002186
Address ID
TX774506256KA20710PKWY300
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience39
Completeness85
Years active:5State licenses:1Digital endpointsOther names

191 CERTIFIED CLINICAL NURSE SPECIALIST (CNS) in TX

Provider Addresses for MACKENZIE PONNAPALLI (AG-CNS)

  • 7200 CAMBRIDGE ST STE C

    HOUSTON, TX 770304202

    Phone: (832) 355-1000

    Type: Mailing

  • 20710 Westheimer Pkwy

    Katy, TX 774506256

    Phone: (281) 646-9000

    Fax: (281) 206-2311

    Type: Location

  • 1331 W GRAND PKWY N STE 130

    KATY, TX 774932711

    Phone: (281) 646-9000

    Fax: (281) 206-2311

    Type: Mailing

  • 7200 CAMBRIDGE ST FL 6

    HOUSTON, TX 770304202

    Phone: (713) 798-2545

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 57 Open Payments records for all available years, with a total value of $1,963.

Total Amount is formed as General ($1,963) + Research ($0) + Ownership ($0) = $1,963.

Last reported payment date: 2024-12-11 • Largest payer in this snapshot: Medtronic, Inc. ($870).

Total Amount

$1,963

General + Research + Ownership

Payments

57

Total payment records

General Amount

$1,963

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-11

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2021-02-25

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20210225002186ICertified Clinical Nurse Specialist (Cns)TXTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 77030)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 7911992151View full group profile
NameSpecialtyState
Cardiovascular Disease (Cardiology)TX
-TX
-TX
Cardiac ElectrophysiologyTX
Cardiovascular Disease (Cardiology), Interventional CardiologyTX
Cardiovascular Disease (Cardiology), Cardiac ElectrophysiologyTX
Internal Medicine, Cardiovascular Disease (Cardiology)TX
Cardiovascular Disease (Cardiology), Interventional CardiologyTX
Cardiovascular Disease (Cardiology)TX
Interventional Cardiology, Cardiovascular Disease (Cardiology)TX

Reviews

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Frequently asked questions

Can I verify MACKENZIE PONNAPALLI (AG-CNS) with an NPI only?
You can start verification with NPI 1396331302 for MACKENZIE PONNAPALLI (AG-CNS), then check state licensing separately.
Is MACKENZIE PONNAPALLI (AG-CNS) listed as active for patients and plans?
The listing shows MACKENZIE PONNAPALLI (AG-CNS) as active in the NPI system.
What is MACKENZIE PONNAPALLI (AG-CNS)'s specialty?
The listing groups MACKENZIE PONNAPALLI (AG-CNS) with Clinical Nurse Specialist. Clinical services aligned with this taxonomy classification.
What area does MACKENZIE PONNAPALLI (AG-CNS) serve?
MACKENZIE PONNAPALLI (AG-CNS)'s listing highlights Houston, Texas; more addresses can appear in NPPES.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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