MIKE LEDESMA (FNP-C) – Family Nurse Practitioner, NPI 1306261599

MIKE LEDESMA (FNP-C) is a healthcare provider. based in San antonio, Texas. specializing in NURSE PRACTITIONER. They hold the professional credentials FNP-C. They hold a License No. 726868 (TX). The NPI Number for MIKE LEDESMA (FNP-C) is 1306261599

Main info

Male
13 Years Of Experience
Accepts Medicare Assignment
Name
MIKE LEDESMA (FNP-C)
NPI
1306261599
Phone
(806) 236-5450
Address
3123 WHITEWING LN
Enumeration Date
25 February 2014
Last Update Date
17 May 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2104473033
Graduation Year
2013 (13 years ago)
PAC ID
3577996610
Group Practice PAC ID
6608935366
Professional Enrollment ID
I20191204001439
Address ID
TX782202531SA1032XRDXX500
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience48
Completeness75
Years active:12State licenses:1Digital endpointsOther names

22,440 NURSE PRACTITIONER in TX

Provider Addresses for MIKE LEDESMA (FNP-C)

  • 3123 WHITEWING LN

    SAN ANTONIO, TX 782304441

    Phone: (806) 236-5450

    Type: Mailing

  • 900 OBLATE DR

    SAN ANTONIO, TX 782167332

    Phone: (210) 314-4055

    Fax: (210) 396-7021

    Type: Location

  • 1032 S WW WHITE RD

    SAN ANTONIO, TX 782202531

    Phone: (210) 447-3033

    Fax: (210) 447-3036

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 180 Open Payments records for all available years, with a total value of $3,313.

Total Amount is formed as General ($3,313) + Research ($0) + Ownership ($0) = $3,313.

Last reported payment date: 2024-12-18 • Largest payer in this snapshot: Lilly USA, LLC ($835).

Total Amount

$3,313

General + Research + Ownership

Payments

180

Total payment records

General Amount

$3,313

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-18

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: 2019-12-04

PECOS data refreshed: 2026-06-15

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
I20191204001439INurse 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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes10173$0
99213Established patient office or other outpatient visit, 20-29 minutes4541$0
81002Urinalysis, manual test1413$0
96372Injection of drug or substance under skin or into muscle1413$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit1313$0
View full utilization report →

Insurance plans in this area (ZIP 78230)

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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: 6608935366View full group profile
NameSpecialtyState
Certified Clinical Nurse Specialist (Cns)TX
Family PracticeTX
P O D I A T R YTX
Nurse PractitionerTX
-TX
Nurse PractitionerTX
Internal MedicineTX
Nurse PractitionerTX
Internal MedicineTX
Physical Therapist In Private PracticeTX

Reviews

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Frequently asked questions

Does MIKE LEDESMA (FNP-C) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — MIKE LEDESMA (FNP-C) uses 1306261599.
Can I rely on MIKE LEDESMA (FNP-C) being an active provider?
As of the registry snapshot, MIKE LEDESMA (FNP-C) is marked active.
What taxonomy line describes MIKE LEDESMA (FNP-C)?
For research purposes, treat MIKE LEDESMA (FNP-C) as Family Nurse Practitioner in this dataset. Clinical services aligned with this taxonomy classification.
Does MIKE LEDESMA (FNP-C) list a practice location?
Patients near San Antonio, Texas may find MIKE LEDESMA (FNP-C) in results; validate coverage separately.
Why does MIKE LEDESMA (FNP-C) have multiple addresses?
3 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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