CULLEN TODD MEZGER (MSN, APRN, FNP-C) – Family Nurse Practitioner, NPI 1114641677

CULLEN TODD MEZGER (MSN, APRN, FNP-C) is a healthcare provider. based in Lubbock, Texas. specializing in NURSE PRACTITIONER. They hold the professional credentials MSN, APRN, FNP-C. They hold a License No. 1095400 (TX). The NPI Number for CULLEN TODD MEZGER (MSN, APRN, FNP-C) is 1114641677

Main info

Male
4 Years Of Experience
Accepts Medicare Assignment
Name
CULLEN TODD MEZGER (MSN, APRN, FNP-C)
NPI
1114641677
Phone
(806) 775-9700
Address
602 Indiana Ave
Enumeration Date
28 September 2022
Last Update Date
2 October 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8067759700
Graduation Year
2022 (4 years ago)
PAC ID
6103364351
Group Practice PAC ID
4284617507
Professional Enrollment ID
I20240819002731
Address ID
TX794153364LU602XXAVEX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience30
Completeness85
Years active:3State licenses:1Digital endpointsOther names

22,204 NURSE PRACTITIONER in TX

Provider Addresses for CULLEN TODD MEZGER (MSN, APRN, FNP-C)

  • 602 Indiana Ave

    Lubbock, TX 794153364

    Phone: (806) 775-9700

    Type: Location

  • 647 PINEY CREEK SUB

    CORRIGAN, TX 759395609

    Phone: (936) 225-0072

    Type: Mailing

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: 2024-08-19

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20240819002731INurse PractitionerTXTBD

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.

Verify on CMS Revalidation Lookup Tool

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 79415)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4284617507View full group profile
NameSpecialtyState
Family PracticeTX
Pediatric MedicineTX
Physician AssistantTX
Emergency MedicineTX
Nurse PractitionerTX
Nurse PractitionerTX
Emergency MedicineTX
Nurse PractitionerTX
Emergency MedicineTX
Nurse PractitionerTX

Reviews

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Frequently asked questions

Where can patients find CULLEN TODD MEZGER (MSN, APRN, FNP-C)'s NPI?
You can confirm CULLEN TODD MEZGER (MSN, APRN, FNP-C) with NPI 1114641677; it appears in the national provider directory.
Is CULLEN TODD MEZGER (MSN, APRN, FNP-C)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What field does CULLEN TODD MEZGER (MSN, APRN, FNP-C) work in?
You can think of CULLEN TODD MEZGER (MSN, APRN, FNP-C) as practicing within Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where is CULLEN TODD MEZGER (MSN, APRN, FNP-C)'s primary listing?
We display Lubbock, Texas because that is what the record indicates for CULLEN TODD MEZGER (MSN, APRN, FNP-C).
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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