Sandi Marie Brunello , FNP-C
Nurse Practitioner • Houston, TX
2455 Dunstan Rd, 360
Houston, TX 770052537
This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.
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NPI assigned on January 29, 2007; this date does not establish years in practice.
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Published CMS data list 188 Medicare Part D prescriptions, including refills, in 2017.
Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2017. Published rows only; this is not a quality measure.
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Published Part D records, 2017:
- Prednisone — 38 prescription fills, including refills.
- Azithromycin — 23 prescription fills, including refills.
- Ciprofloxacin Hcl — 19 prescription fills, including refills.
Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2017. Drug names come from pharmacy claims. Listing a drug here is not an endorsement or a recommendation.
See all 11 records in the table · Guide: How to read Medicare Part D prescriber data
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Medicare Part D prescriptions went from 54 in 2015 to 188 in 2017.
Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2015–2017.
Practice Location & Contact Primary Location
2455 Dunstan Rd
360
Houston, TX 770052537
Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.
What Public CMS Data Show
Nurse Practitioner: NPPES taxonomy is a reported classification, not proof of board certification.
30-day fills
234 standardized 30-day fills in 2017
CMS converts prescriptions to 30-day supplies so they can be compared. A 90-day prescription counts as about three 30-day fills.
What this does not show: 30-day fills
It is not a count of patients and not a measure of quality.
Part D drug cost
$1,916 in 2017
The total cost of these prescriptions in 2017, paid by Medicare drug plans, patients and other payers together.
It shows the total spending on drugs this clinician prescribed, not what any one patient paid.
What this does not show: Part D drug cost
A higher cost often reflects the type of medicines a specialty uses. It is not your out-of-pocket cost and not a measure of quality.
Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2017.
Industry payments (Open Payments)
Fewer than 11 payment records totaling $106.94 in 2025
Drug and medical device companies must report certain payments to doctors and some other clinicians to CMS, such as meals, travel, speaking fees or research funding.
It shows reported financial ties between this clinician and companies. You can ask your clinician about them.
These records are submitted by drug and medical device companies, and a reported payment does not necessarily mean the financial relationship is improper.
General: payments not tied to research, such as meals, travel, consulting or speaking fees.
A reported payment does not necessarily mean the financial relationship is improper. Research payments can go to a hospital or university for a study the clinician leads, not to the clinician personally. Clinicians can dispute records with the company that reported them.
Source: CMS Open Payments, program year 2025.
NPI first issued
2007
The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.
What this does not show: NPI first issued
NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.
Source: CMS NPPES NPI Registry.
Medicare assignment not listed
CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.
Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.
Source: CMS Doctors and Clinicians; Medicare.gov, “Does your provider accept Medicare as full payment?”
No telehealth indicator
CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.
Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.
Compared with the same specialty in Houston and Texas
Billing and prescribing volume is not a quality rating.
Medicare Part D
Comparisons use 2024 data. The latest CMS data for Sandi Brunello are from 2017.
795 active clinicians are listed under Nurse Practitioner with a practice address in Houston, TX (4,916 in Texas).
Addresses are self-reported to NPPES and may be out of date.
Telehealth indicator in Houston
13.6% of these 795 clinicians have the CMS telehealth indicator.
42.8% of these 795 clinicians are listed by CMS as accepting Medicare assignment.
CMS data by year
Changes may reflect reporting, coverage or privacy limits, not changes in care quality.
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Medicare Part D prescriptions
Medicare Part D prescriptions increased 248% from 54 in 2015 to 188 in 2017.
- 2015: 54
- 2016: 155
- 2017: 188
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30-day fills
30-day fills increased 244% from 68 in 2015 to 234 in 2017.
- 2015: 68
- 2016: 243
- 2017: 234
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Part D drug cost
Part D drug cost went from $628 in 2015 to $1,916 in 2017.
- 2015: $628
- 2016: $11,968
- 2017: $1,916
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Industry payments (Open Payments)
Industry payments (Open Payments) went from $234.31 in 2024 to $106.94 in 2025.
- 2024: $234.31
- 2025: $106.94
Sources: CMS Medicare Part D Prescribers (2017), CMS Open Payments (2025), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.
Text: T-MedInfo · Report an error.
Pharma & Medical Device Financial Disclosures
Payments and other transfers of value that drug and medical device companies reported to CMS Open Payments
Program year 2025 (payments made January 1 – December 31, 2025): fewer than 11 records totaling $106.94.
| Manufacturer | Payment Nature | Product | Type | Amount ($) |
|---|---|---|---|---|
| Xeris Pharmaceuticals, Inc. |
Food and Beverage
In-kind items and services
|
RECORLEV | General | $106.94 |
Source: CMS Open Payments, program year 2025, released June 30, 2026.
Medicare Part D Prescribing Profile & Medications
Medicare Part D prescriptions filled, including refills, in 2017.
| Brand Name | Generic Name | Prescriptions | Day Supply | Total Cost | Patients |
|---|---|---|---|---|---|
| Prednisone | Prednisone | 38 | 240 | $116.81 | 27 |
| Azithromycin | Azithromycin | 23 | 115 | $164.31 | 20 |
| Ciprofloxacin Hcl | Ciprofloxacin Hcl | 19 | 73 | $66.76 | 18 |
| Furosemide | Furosemide | 18 | 879 | $61.67 | — |
| Levofloxacin | Levofloxacin | 16 | 114 | $45.48 | 11 |
| Triamcinolone Acetonide | Triamcinolone Acetonide | 15 | 364 | $315.93 | — |
| Generlac | Lactulose | 14 | 255 | $139.35 | — |
| Pantoprazole Sodium | Pantoprazole Sodium | 12 | 480 | $164.99 | — |
| Levothyroxine Sodium | Levothyroxine Sodium | 11 | 870 | $346.24 | — |
| Omeprazole | Omeprazole | 11 | 390 | $61.42 | — |
| Mirtazapine | Mirtazapine | 11 | 570 | $433.36 | — |
Source: CMS Part D by Provider and Drug, 2017; rows below 11 claims omitted by CMS; volume isn’t quality. Privacy limits
Specialties & License Numbers Reported to NPPES
NUCC Taxonomy Code: 363L00000X
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Additional State Medicaid & Healthcare Payer Identifiers
Clinicians Sharing This Practice Address or Phone
Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.
Nurse Practitioner - Family
Nurse Practitioner
Adult-Gerontology Nurse Practitioner (Board Certified)
Nurse Practitioner - Family
Master of Science, FAMILYPRIMARYC
Nurse Practitioner - Family
Nurse Practitioner (Certified)
Nurse Practitioner - Family
Family Nurse Practitioner (Certified)
Nurse Practitioner - Family
Master of Science in Nursing, Family Nurse Practitioner (Certified)
Career & Practice History
NPI enumerated January 29, 2007.
No changes to the name, practice address, taxonomy or NPI status in this record have been observed in the monthly NPPES data files from January 2017 to November 2026.
NPI Administrative Meta
Other Nurse Practitioners in Houston
- Gloria Gomez, AGNP-BC
- Geena Arackal, NP
- Anjali James, ACNP
- Dr. Maria Reyes, DNP, APRN, FNP-C
- Otitolola Fletcher, APRN-C
- Brandy Wells
Mailing Address
333 Commerce St, Suite 700
Nashville, TN 372011826