IAN MARDIS (NP-C) – Family Nurse Practitioner, NPI 1518568419

IAN MARDIS (NP-C) is a healthcare provider. based in El paso, Texas. specializing in NURSE PRACTITIONER. They hold the professional credentials NP-C. They hold a License No. 1018941 (TX). The NPI Number for IAN MARDIS (NP-C) is 1518568419

Main info

Male
Sole Proprietor
6 Years Of Experience
Accepts Medicare Assignment
Name
IAN MARDIS (NP-C)
NPI
1518568419
Phone
Not provided
Address
12528 TIERRA ENCINO DR
Enumeration Date
5 November 2020
Last Update Date
13 November 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2709039845
Graduation Year
2020 (6 years ago)
PAC ID
0143637710
Group Practice PAC ID
5395018972
Professional Enrollment ID
I20210326000316
Address ID
TX799257701EL10301WXXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience34
Completeness75
Years active:5State licenses:1Digital endpointsOther names

22,204 NURSE PRACTITIONER in TX

Provider Addresses for IAN MARDIS (NP-C)

  • 12528 TIERRA ENCINO DR

    EL PASO, TX 799384525

    Phone:

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

Open Payments (CMS)

CMS reports 3 Open Payments records for all available years, with a total value of $62.

Total Amount is formed as General ($62) + Research ($0) + Ownership ($0) = $62.

Last reported payment date: 2023-04-26 • Largest payer in this snapshot: GlaxoSmithKline, LLC. ($38).

Total Amount

$62

General + Research + Ownership

Payments

3

Total payment records

General Amount

$62

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-04-26

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2021-03-26

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
I20210326000316INurse PractitionerTXTBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99308Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes31130$0
99309Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes4215$0
99305Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes2318$0
View full utilization report →

Insurance plans in this area (ZIP 79938)

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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: 5395018972View full group profile
NameSpecialtyState
Internal Medicine, Family Practice, Hospice/Palliative CareTX
Nurse PractitionerTX
Nurse PractitionerTX
Nurse PractitionerTX
Nurse PractitionerTX
Nurse PractitionerTX

Reviews

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Frequently asked questions

What is the registry number for IAN MARDIS (NP-C)?
The registry entry for IAN MARDIS (NP-C) shows NPI 1518568419.
Is IAN MARDIS (NP-C) currently accepting referrals based on NPI status?
Registry metadata lists IAN MARDIS (NP-C) as active.
What services align with IAN MARDIS (NP-C)'s listing?
IAN MARDIS (NP-C)'s public classification highlights Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Which community is linked to IAN MARDIS (NP-C)?
IAN MARDIS (NP-C) shows a connection to El Paso, Texas in registry-derived data.
Why is information missing for IAN MARDIS (NP-C)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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