MANDY DE BRUIN (CNP) – Adult Health Nurse Practitioner, NPI 1033789672
Adult Health Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
24,232 NURSE PRACTITIONER in FL
Provider Addresses for MANDY DE BRUIN (CNP)
30115 State Road 52 Ste 101
San Antonio, FL 335768243
Phone: (813) 467-4244
Fax: (813) 467-4249
Type: Location
1139 LEXINGTON AVE STE A
SAVANNAH, GA 314045502
Phone: (912) 303-4200
Fax: (912) 790-2701
Type: Mailing
30115 STATE ROAD 52 STE 101
SAN ANTONIO, FL 335768243
Phone: (813) 467-4244
Fax: (813) 467-4249
Type: Location
4085 SAGE DR
BEAUFORT, SC 299071536
Phone: (317) 363-9112
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 65 Open Payments records for all available years, with a total value of $1,282.
Total Amount is formed as General ($1,282) + Research ($0) + Ownership ($0) = $1,282.
Last reported payment date: 2024-12-12 • Largest payer in this snapshot: ABBVIE INC. ($581).
Total Amount
$1,282
General + Research + Ownership
Payments
65
Total payment records
General Amount
$1,282
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-12
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $581 |
| Janssen Biotech, Inc. | $178 |
| Lilly USA, LLC | $70 |
| Merck Sharp & Dohme LLC | $46 |
| Madrigal Pharmaceuticals | $44 |
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: 2024-03-21
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20240301000314 | I | Nurse Practitioner | GA | TBD |
| I20240321001891 | I | Nurse Practitioner | SC | TBD |
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.
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 33576)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Gastroenterology, Internal Medicine | GA | |
| Nurse Practitioner | GA | |
| Gastroenterology, Internal Medicine | GA | |
| Gastroenterology, Internal Medicine | GA | |
| G A S T R O E N T E R O L O G Y | GA | |
| Gastroenterology, Internal Medicine | GA | |
| P A T H O L O G Y | SC | |
| Gastroenterology, Internal Medicine | GA | |
| G A S T R O E N T E R O L O G Y | NJ | |
| Physician Assistant | GA |
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