KIMBERLEY KAY MENDEZ (MSN, RN, FNP-BC) – Family Nurse Practitioner, NPI 1043555394
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
8,192 NURSE PRACTITIONER in IN
Provider Addresses for KIMBERLEY KAY MENDEZ (MSN, RN, FNP-BC)
707 CEDAR ST STE 405
SOUTH BEND, IN 466172059
Phone: (574) 335-8707
Fax: (574) 335-0741
Type: Mailing
510 W ADAMS ST STE 150
PLYMOUTH, IN 465631789
Phone: (574) 335-7900
Fax: (574) 335-0850
Type: Location
707 E CEDAR ST
STE 200
SOUTH BEND, IN 466172057
Phone: (574) 335-8700
Fax: (574) 335-0741
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 5 Open Payments records for all available years, with a total value of $92.
Total Amount is formed as General ($92) + Research ($0) + Ownership ($0) = $92.
Last reported payment date: 2024-08-13 • Largest payer in this snapshot: Boston Scientific Corporation ($24).
Total Amount
$92
General + Research + Ownership
Payments
5
Total payment records
General Amount
$92
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-08-13
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Boston Scientific Corporation | $24 |
| Lilly USA, LLC | $19 |
| Dexcom, Inc. | $17 |
| Exact Sciences Corporation | $17 |
| Abbott Laboratories | $15 |
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: 2013-01-31
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 |
|---|---|---|---|---|
| I20130131000189 | I | Nurse Practitioner | IN | 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 |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 92 | 47 | $0 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 31 | 31 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 20 | 14 | $0 |
Insurance plans in this area (ZIP 46617)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice | IN | |
| Internal Medicine, Family Practice, Emergency Medicine | IN | |
| - | IN | |
| - | IN | |
| N E U R O L O G Y | IL | |
| - | IN | |
| - | IN | |
| U R O L O G Y | FL | |
| Physician Assistant | MN | |
| Nurse Practitioner | IN |
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