TATIANNA MONDAINI MARX (FNP-C) – Registered Nurse, NPI 1215412788
Registered Nurse
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
22,204 NURSE PRACTITIONER in TX
Provider Addresses for TATIANNA MONDAINI MARX (FNP-C)
4611 CENTERVIEW
SAN ANTONIO, TX 782281202
Phone: (210) 255-8935
Fax: (210) 255-8026
Type: Mailing
PO BOX 2705
HUNTSVILLE, AL 358042705
Phone: (256) 801-6049
Fax: (256) 801-6218
Type: Mailing
Governors Drive Southwest, Medical District, Longwood, Huntsville, Madison County, Alabama, 35801, United States
HUNTSVILLE, AL 358015171
Phone: (256) 533-1600
Fax: (256) 539-0856
Type: Location
3551 ROGER BROOKE DR
SAN ANTONIO, TX 782344504
Phone: (251) 916-3805
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 2 Open Payments records for all available years, with a total value of $213.
Total Amount is formed as General ($213) + Research ($0) + Ownership ($0) = $213.
Last reported payment date: 2024-07-09 • Largest payer in this snapshot: Kyowa Kirin, Inc. ($121).
Total Amount
$213
General + Research + Ownership
Payments
2
Total payment records
General Amount
$213
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-07-09
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Kyowa Kirin, Inc. | $121 |
| W. L. Gore & Associates, Inc. | $92 |
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: 2018-11-28
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 |
|---|---|---|---|---|
| I20181128001809 | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 78228)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | TX | |
| Nurse Practitioner | CA | |
| Nurse Practitioner | KS | |
| Nurse Practitioner | CO | |
| Nurse Practitioner | NY | |
| Nurse Practitioner | NY | |
| Nurse Practitioner | TN |
Reviews
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