MRS. NADINE NZENGA UDOM (FNP) – Family Medicine Physician, NPI 1063941060
Family Medicine Physician
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Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
22,204 NURSE PRACTITIONER in TX
Provider Addresses for MRS. NADINE NZENGA UDOM (FNP)
555 Granite Clf
San Antonio, TX 782514287
Phone: (210) 264-3191
Type: Location
11212 State Highway 151 Ste 105
San Antonio, TX 782514555
Phone: (210) 309-1405
Type: Location
5460 BABCOCK RD STE 120-C
SAN ANTONIO, TX 782403901
Phone: (940) 395-8333
Fax: (210) 783-8444
Type: Mailing
10323 STATE HIGHWAY 151
SAN ANTONIO, TX 782514557
Phone: (210) 581-5306
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
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: 2017-08-21
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 |
|---|---|---|---|---|
| I20170821002548 | 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 |
|---|---|---|---|---|
| 99233 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | 237 | 81 | $0 |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 142 | 59 | $0 |
| 99239 | Hospital discharge day management, more than 30 minutes | 48 | 48 | $0 |
| 99223 | Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | 37 | 37 | $0 |
Insurance plans in this area (ZIP 78251)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice | TX | |
| Hospitalist, Internal Medicine | TX | |
| Family Practice, Hospitalist | PA | |
| Internal Medicine | TX | |
| Family Practice | NM | |
| Internal Medicine, Hospitalist, Internal Medicine | TX | |
| Internal Medicine | TX | |
| Internal Medicine | TX | |
| Nurse Practitioner | TX | |
| Nurse Practitioner | LA |
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