JENNYFER BERIDIS ALVARADO – Family Nurse Practitioner, NPI 1336016096

JENNYFER BERIDIS ALVARADO is a healthcare provider. based in Laredo, Texas. specializing in NURSE PRACTITIONER. They hold a License No. 1216696 (TX). The NPI Number for JENNYFER BERIDIS ALVARADO is 1336016096

Main info

Female
1 Year Of Experience
Accepts Medicare Assignment
Name
JENNYFER BERIDIS ALVARADO
NPI
1336016096
Phone
(956) 625-2030
Address
11110 MINES RD STE 104
Enumeration Date
18 October 2025
Last Update Date
10 November 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9566252030
Graduation Year
2025 (1 year ago)
PAC ID
1850879933
Group Practice PAC ID
1355582461
Professional Enrollment ID
I20260129004141
Address ID
TX780457981LA11110RDXX301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience33
Completeness85
Years active:0State licenses:2Digital endpointsOther names

22,204 NURSE PRACTITIONER in TX

Provider Addresses for JENNYFER BERIDIS ALVARADO

  • 11110 MINES RD STE 104

    LAREDO, TX 780457981

    Phone: (956) 625-2030

    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)

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: 2026-01-29

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
I20260129004141INurse 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 78045)

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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: 1355582461View full group profile
NameSpecialtyState
N E U R O S U R G E R YTX
Interventional Cardiology, Cardiovascular Disease (Cardiology)TX
O B S T E T R I C S/ G Y N E C O L O G YMN
Nurse PractitionerTX
General SurgeryPA
N E U R O S U R G E R YWI
Nurse PractitionerTX
-PR
Radiation OncologyTX
Interventional Cardiology, Cardiovascular Disease (Cardiology), Cardiovascular Disease (Cardiology), Internal MedicineOK

Reviews

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Frequently asked questions

What number should I use to identify JENNYFER BERIDIS ALVARADO for billing?
Administrative and clinical systems typically use NPI 1336016096 for JENNYFER BERIDIS ALVARADO.
Does the public listing show JENNYFER BERIDIS ALVARADO as active?
JENNYFER BERIDIS ALVARADO's NPI record reflects an active status in NPPES.
How should patients interpret JENNYFER BERIDIS ALVARADO's specialty?
The extract shows Family Nurse Practitioner for JENNYFER BERIDIS ALVARADO. Clinical services aligned with this taxonomy classification.
Is JENNYFER BERIDIS ALVARADO tied to Laredo, Texas?
If you are local to Laredo, Texas, JENNYFER BERIDIS ALVARADO may be relevant to your search.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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