KIRBY BANDOQUILLO (NP) – Family Nurse Practitioner, NPI 1598150195
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for KIRBY BANDOQUILLO (NP)
61 WHITCHER ST NE STE 3110
MARIETTA, GA 300601179
Phone: (770) 422-2326
Type: Location
100 LAUREL BRANCH CT
ROSWELL, GA 300752177
Phone: (704) 608-4153
Type: Mailing
650 S TRYON ST STE 440
CHARLOTTE, NC 282023271
Phone: (704) 626-6266
Type: Mailing
135 W 10TH ST
CHARLOTTE, NC 282022229
Phone: (704) 626-3994
Type: Location
100 STONEFOREST DR STE 130
WOODSTOCK, GA 301894881
Phone: (678) 388-1621
Fax: (678) 388-1627
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 6 Open Payments records for all available years, with a total value of $130.
Total Amount is formed as General ($130) + Research ($0) + Ownership ($0) = $130.
Last reported payment date: 2023-06-16 • Largest payer in this snapshot: Janssen Pharmaceuticals, Inc ($57).
Total Amount
$130
General + Research + Ownership
Payments
6
Total payment records
General Amount
$130
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-06-16
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2023-12-07
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 |
|---|---|---|---|---|
| I20160112001608 | I | Nurse Practitioner | GA | TBD |
| I20231207002044 | I | Nurse Practitioner | NC | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 253 | 230 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 120 | 120 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 89 | 88 | $0 |
Insurance plans in this area (ZIP 30060)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | GA | |
| - | GA | |
| - | GA | |
| R H E U M A T O L O G Y | MI | |
| Hospitalist, Internal Medicine | GA | |
| Nurse Practitioner | TN | |
| Family Practice | GA | |
| Physician Assistant | GA | |
| Physician Assistant | GA | |
| Hospitalist, Internal Medicine | GA |
Reviews
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