SANDRA NIETO (FNP) – Nurse Practitioner, NPI 1013444892
Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
22,209 NURSE PRACTITIONER in TX
Provider Addresses for SANDRA NIETO (FNP)
500 W 4th St
Odessa, TX 797615001
Phone: (432) 640-2834
Fax: (432) 640-2897
Type: Location
710, East 6th Street, Owen, Odessa, Ector County, Texas, 79761, United States
ODESSA, TX 797614655
Phone: (432) 582-2882
Type: Mailing
4060 MEDICAL PARK DR
ODESSA, TX 797652233
Phone: (432) 582-2882
Fax: (432) 582-2884
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 75 Open Payments records for all available years, with a total value of $1,981.
Total Amount is formed as General ($1,981) + Research ($0) + Ownership ($0) = $1,981.
Last reported payment date: 2024-11-22 • Largest payer in this snapshot: ABBVIE INC. ($361).
Total Amount
$1,981
General + Research + Ownership
Payments
75
Total payment records
General Amount
$1,981
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-22
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $361 |
| Lilly USA, LLC | $352 |
| AstraZeneca Pharmaceuticals LP | $329 |
| Novo Nordisk Inc | $298 |
| Amgen Inc. | $220 |
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: 2017-06-20
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 |
|---|---|---|---|---|
| I20170620001386 | I | Nurse Practitioner | TX | 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 |
|---|---|---|---|---|
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | 150 | 22 | $0 |
| 87804 | Detection test by immunoassay with direct visual observation for influenza virus | 100 | 40 | $0 |
| J0696 | Injection, ceftriaxone sodium, per 250 mg | 94 | 22 | $0 |
| 96372 | Injection of drug or substance under skin or into muscle | 55 | 29 | $0 |
| 87426 | Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus | 50 | 40 | $0 |
Insurance plans in this area (ZIP 79761)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | TX |
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