MARIANA ONTIVEROS (APRN) – Primary Care Nurse Practitioner, NPI 1912696493

MARIANA ONTIVEROS (APRN) is a healthcare provider. based in Live oak, Texas. specializing in NURSE PRACTITIONER. They hold the professional credentials APRN. They hold a License No. 1114788 (TX). The NPI Number for MARIANA ONTIVEROS (APRN) is 1912696493

Main info

Female
5 Years Of Experience
Accepts Medicare Assignment
Name
MARIANA ONTIVEROS (APRN)
NPI
1912696493
Phone
(210) 742-6555
Address
12410 TOEPPERWEIN RD
Enumeration Date
2 May 2023
Last Update Date
2 May 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2107426555
Graduation Year
2021 (5 years ago)
PAC ID
1759736739
Group Practice PAC ID
0648530386
Professional Enrollment ID
I20231011001589
Address ID
TX782333230LI12410RDXX301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience30
Completeness75
Years active:3State licenses:1Digital endpointsOther names

22,204 NURSE PRACTITIONER in TX

Provider Addresses for MARIANA ONTIVEROS (APRN)

  • 12410 TOEPPERWEIN RD

    LIVE OAK, TX 782333230

    Phone: (210) 742-6555

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 10 Open Payments records for all available years, with a total value of $288.

Total Amount is formed as General ($288) + Research ($0) + Ownership ($0) = $288.

Last reported payment date: 2024-10-02 • Largest payer in this snapshot: CARDIVA MEDICAL, INC. ($119).

Total Amount

$288

General + Research + Ownership

Payments

10

Total payment records

General Amount

$288

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-02

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: 2023-10-11

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
I20231011001589INurse 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
99214Established patient office or other outpatient visit, 30-39 minutes4939$0
View full utilization report →

Insurance plans in this area (ZIP 78233)

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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: 0648530386View full group profile
NameSpecialtyState
Nurse PractitionerTX
Physician AssistantTX
Nurse PractitionerTX
Nurse PractitionerTX
Nurse PractitionerTX
Internal MedicineTX
Physician AssistantTX
-WV
Nurse PractitionerTX
Nurse PractitionerTX

Reviews

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Frequently asked questions

What federal number belongs to MARIANA ONTIVEROS (APRN)?
The federal identifier for MARIANA ONTIVEROS (APRN) is NPI 1912696493.
Is MARIANA ONTIVEROS (APRN) currently active in the NPI registry?
CMS-published data lists MARIANA ONTIVEROS (APRN) as an active registrant.
Can you summarize MARIANA ONTIVEROS (APRN)'s specialty in plain language?
Clinically, the directory lists MARIANA ONTIVEROS (APRN) with Primary Care Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where is MARIANA ONTIVEROS (APRN)'s primary listing?
We display Live Oak, Texas because that is what the record indicates for MARIANA ONTIVEROS (APRN).
How can I contact MARIANA ONTIVEROS (APRN)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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