Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mariann M Craddock, NP

Individual provider Nurse Practitioner · NPI 1295019503

Mariann M Craddock, NP is a Nurse Practitioner in Live Oak, Texas. Qualified in 2011, 15 years ago. Practices with Physician Primecare, Inc, a 70-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Texas.

Years since qualifying
15
Licensed in
TX
In the registry since
2011
Specialties on file
2
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

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Practice location Address checks out

12881 N Ih 35
Live Oak, TX 78233-2966
Phone: (210) 742-6555
Fax: (732) 587-5486
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 105 Falls Ct Ste 100, Boerne, TX 78006-2986 — (830) 249-3800

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence AP120818 (TX)
Nurse Practitioner Taxonomy 363L00000X · Licence 661440 (TX)

Record details

NPI number1295019503
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP
Sole proprietorNo
NPI enumeratedOctober 5, 2011
Last updated in NPPESSeptember 29, 2025
Certification dateSeptember 29, 2025
Mailing address2961 Mossrock, San Antonio, TX 78230-5119

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2011 (15 years in practice)
Group practice Physician Primecare, Inc — 70 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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