MRS. BREANNA KATHLEEN MENDOZA (APRN) – Nurse Practitioner, NPI 1740011303
Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
24,243 NURSE PRACTITIONER in FL
Provider Addresses for MRS. BREANNA KATHLEEN MENDOZA (APRN)
500 REBA DR
LAKE PLACID, FL 338526827
Phone: (863) 633-8606
Type: Mailing
5115 US HIGHWAY 27 N STE 100
SEBRING, FL 338701323
Phone: (863) 385-2222
Type: Location
146 Avenue B NW
Winter Haven, FL 338814506
Phone: (863) 299-3210
Fax: (863) 299-2968
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 4 Open Payments records for all available years, with a total value of $81.
Total Amount is formed as General ($81) + Research ($0) + Ownership ($0) = $81.
Last reported payment date: 2024-11-08 • Largest payer in this snapshot: Janssen Biotech, Inc. ($65).
Total Amount
$81
General + Research + Ownership
Payments
4
Total payment records
General Amount
$81
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-08
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Janssen Biotech, Inc. | $65 |
| ABBVIE INC. | $17 |
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: 2024-09-12
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20240912004583 | I | Nurse Practitioner | FL | 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 33852)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Certified Registered Nurse Anesthetist (Crna) | FL | |
| Orthopedic Surgery | CA | |
| Orthopedic Surgery | FL | |
| Orthopedic Surgery | FL | |
| - | FL | |
| Physical Medicine And Rehabilitation | FL | |
| Orthopedic Surgery | FL | |
| - | FL | |
| Anesthesiology, Interventional Pain Management | MI | |
| Orthopedic Surgery | FL |
Reviews
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