MARIYA BONDARENKO – Family Nurse Practitioner, NPI 1255925079

MARIYA BONDARENKO is a healthcare provider. based in Mesquite, Texas. specializing in NURSE PRACTITIONER. They hold a License No. AP145646 (TX). The NPI Number for MARIYA BONDARENKO is 1255925079

Main info

Female
7 Years Of Experience
Accepts Medicare Assignment
Name
MARIYA BONDARENKO
NPI
1255925079
Phone
(469) 919-4004
Address
2540 N GALLOWAY AVE STE 204
Enumeration Date
22 February 2021
Last Update Date
22 February 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2146180853
Graduation Year
2019 (7 years ago)
PAC ID
1355791971
Group Practice PAC ID
4880985415
Professional Enrollment ID
I20231222001314
Address ID
TX750340245FR8501XBLVD302
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience34
Completeness75
Years active:5State licenses:1Digital endpointsOther names

22,204 NURSE PRACTITIONER in TX

Provider Addresses for MARIYA BONDARENKO

  • 2540 N GALLOWAY AVE STE 204

    MESQUITE, TX 751504813

    Phone: (469) 919-4004

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 19 Open Payments records for all available years, with a total value of $1,685.

Total Amount is formed as General ($1,685) + Research ($0) + Ownership ($0) = $1,685.

Last reported payment date: 2024-12-10 • Largest payer in this snapshot: GENZYME CORPORATION ($280).

Total Amount

$1,685

General + Research + Ownership

Payments

19

Total payment records

General Amount

$1,685

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-10

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2023-12-22

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
I20231222001314INurse 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 75150)

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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: 4880985415View full group profile
NameSpecialtyState
Emergency MedicineTX
Pain Management, Anesthesiology, Interventional Pain ManagementTX

Reviews

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Frequently asked questions

What identifier follows MARIYA BONDARENKO across health systems?
The NPI 1255925079 uniquely identifies MARIYA BONDARENKO in U.S. healthcare data.
Is MARIYA BONDARENKO currently accepting referrals based on NPI status?
Registry metadata lists MARIYA BONDARENKO as active.
How should patients interpret MARIYA BONDARENKO's specialty?
The extract shows Family Nurse Practitioner for MARIYA BONDARENKO. Clinical services aligned with this taxonomy classification.
Can patients visit MARIYA BONDARENKO in Mesquite, Texas?
For routing, start with Mesquite, Texas for MARIYA BONDARENKO, then verify phone and hours locally.
Can I export MARIYA BONDARENKO's record?
You can download the official NPPES record; we summarize key fields for readability.

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