BROOKE MENDIOLA – Pediatric Nurse Practitioner, NPI 1033710074
Pediatric Nurse Practitioner
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for BROOKE MENDIOLA
1919 OAKWELL FARMS PKWY STE 257
SAN ANTONIO, TX 782181736
Phone: (210) 930-8400
Fax: (210) 930-8402
Type: Mailing
333 N SANTA ROSA
SAN ANTONIO, TX 782073108
Phone: (210) 704-4100
Type: Location
1919 Oakwell Farms Pkwy Ste 257
San Antonio, TX 782181736
Phone: (210) 930-8400
Fax: (210) 930-8402
Type: Location
277 BUDDY GANEM DR STE A
PORTLAND, TX 783743202
Phone: (361) 777-3900
Fax: (361) 413-0274
Type: Mailing
9139 WESTOVER HILLS BLVD STE 101
SAN ANTONIO, TX 782512889
Phone: (210) 437-3990
Fax: (210) 437-3991
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 20 Open Payments records for all available years, with a total value of $445.
Total Amount is formed as General ($445) + Research ($0) + Ownership ($0) = $445.
Last reported payment date: 2024-08-21 • Largest payer in this snapshot: SANOFI PASTEUR INC. ($172).
Total Amount
$445
General + Research + Ownership
Payments
20
Total payment records
General Amount
$445
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-08-21
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| SANOFI PASTEUR INC. | $172 |
| Corium, LLC | $113 |
| Cranial Technologies, Inc | $53 |
| Merck Sharp & Dohme LLC | $37 |
| Supernus Pharmaceuticals, Inc. | $24 |
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: 2024-08-27
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 |
|---|---|---|---|---|
| I20240827004220 | 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 78218)
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