Active NPI
Dana Mendoza
- Family Nurse Practitioner
- Montgomery, TX
National Provider Identifier
1023909736
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 1015398
- Practice address
- 123 Blue Heron Dr Ste 101
Montgomery, TX 77316-3192 - Phone
- (936) 290-0761
- NPI assigned
- Jul 10, 2025
- Last updated
- Jul 10, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 1015398 | TX | Primary |
Addresses
Primary practice location
123 Blue Heron Dr Ste 101
Montgomery, TX 77316-3192
Mailing address
15436 Crown Oaks Dr
Montgomery, TX 77316-9623
Phone (619) 212-0629
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- University of Texas Medical School at Houston, 2025
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
123 Blue Heron Dr
Suite 101
Montgomery, TX 77316-3192
Phone (936) 290-0761
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1015398 | TX | MD | Family Nurse Practitioner |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1752105600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1752105600000",
"number": "1023909736",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15436 CROWN OAKS DR",
"city": "MONTGOMERY",
"state": "TX",
"postal_code": "773169623",
"telephone_number": "619-212-0629"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "123 BLUE HERON DR STE 101",
"city": "MONTGOMERY",
"state": "TX",
"postal_code": "773163192",
"telephone_number": "936-290-0761"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MENDOZA",
"first_name": "DANA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-07-10",
"last_updated": "2025-07-10",
"certification_date": "2025-07-10",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "TX",
"license": "1015398",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Montgomery, TX
- Jeremy Kirk McWilliams, D.O.
- Brian J Melancon, PT
- Melinda Jezierski, Mdpa
- Cecilia L. Melton, D.C.
- Memorial Hermann Surgery Center Woodforest LLC (Memorial Hermann Surgery Center Woodforest)
- Monica Ashley Mendoza, PT, DPT, MS
- Jaymes Mennel
- Carmen R Merrill, LCSW
- Micah Bosley MD, PLLC
- Micah Bosley MD, PLLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.