Individual provider Active NPI

Raquel Anne Mendoza, FNP-C

  • Obstetrics & Gynecology Nurse Practitioner
  • Nogales, AZ
National Provider Identifier
1083421077
Registry record updated Jul 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology Nurse PractitionerTaxonomy code 363LX0001X
License
317965 Issued in AZ
Practice address
507 N Western Ave
Nogales, AZ 85621-2060
Phone
(520) 287-4747
Fax
(520) 281-4487
NPI assigned
Dec 13, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Nurse Practitioner 363LX0001X F12240190 AZ
Obstetrics & Gynecology Nurse Practitioner 363LX0001X 317965 AZ Primary
Family Nurse Practitioner 363LF0000X 317965 AZ

Addresses

Primary practice location

507 N Western Ave
Nogales, AZ 85621-2060

Mailing address

825 N Grand Ave Ste 100
Nogales, AZ 85621-1061
Phone (520) 761-2128

Other practice location 1

12806 E Giada Dr
Vail, AZ 85641-0585
Phone (520) 409-5020

Other names 1

  • Raquel Anne Stone Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250131003452 AZ Practitioner - Nurse Practitioner 2860921095 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
317965AZMDObstetrics & Gynecology Nurse Practitioner
F12240190AZMDObstetrics & Gynecology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mariposa Community Health Center, Inc Nurse Practitioner Current Accepting new patients
Banner-University Medical Group CurrentSince Mar 1, 2025 Accepting new patients
Banner-University Medical Group CurrentSince Mar 1, 2025 Accepting new patients
Mariposa Community Health Center, Inc CurrentSince Jul 1, 2025 Accepting new patients
Banner-University Medical Group Current Accepting new patients
Mariposa Community Health Center, Inc Nurse Practitioner Current Accepting new patients
Mariposa Community Health Center, Inc CurrentSince Jul 1, 2025 Accepting new patients
Mariposa Community Health Center, Inc Nurse Practitioner Past Accepting new patients

Locations

1835 N Mastick Way
Nogales, AZ 85621
Phone 5202811550 ext. 1180

825 N Grand Ave
Ste 100
Nogales, AZ 85621
Phone (520) 761-2128

1209 W Target Range Rd
Ste 100
Nogales, AZ 85621
Phone (520) 287-4747

1852 N Mastick Way
Nogales, AZ 85621

3231 N Grand Ave
Nogales, AZ 85621
Phone (520) 393-4923

1209 W Target Range Rd
Nogales, AZ 85621
Phone (520) 285-3135

507 N Western Ave
Nogales, AZ 85621
Phone (520) 229-0085

1103 Circulo Mercado
Rio Rico, AZ 85648
Phone 5202811550 ext. 1180

2800 E Ajo Way
Tucson, AZ 85713
Phone (520) 294-4471

1625 N Campbell Ave
Tucson, AZ 85719

Interoperability endpoints

  • Direct secure messaging: raquel.mendoza.p1@direct.azch.nextgenshare.com

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1734048000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784160000000",
    "number": "1083421077",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "825 N GRAND AVE STE 100",
            "city": "NOGALES",
            "state": "AZ",
            "postal_code": "856211061",
            "telephone_number": "520-761-2128",
            "fax_number": "520-281-1112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "507 N WESTERN AVE",
            "city": "NOGALES",
            "state": "AZ",
            "postal_code": "856212060",
            "telephone_number": "520-287-4747",
            "fax_number": "520-281-4487"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12806 E Giada Dr",
            "address_purpose": "LOCATION",
            "city": "Vail",
            "state": "AZ",
            "postal_code": "856410585",
            "country_code": "US",
            "telephone_number": "520-409-5020",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MENDOZA",
        "first_name": "RAQUEL",
        "middle_name": "ANNE",
        "name_prefix": "Ms.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-12-13",
        "last_updated": "2026-07-16",
        "certification_date": "2026-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LX0001X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Obstetrics & Gynecology",
            "state": "AZ",
            "license": "F12240190",
            "primary": false
        },
        {
            "code": "363LX0001X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Obstetrics & Gynecology",
            "state": "AZ",
            "license": "317965",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "317965",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RAQUEL",
            "last_name": "STONE",
            "middle_name": "ANNE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Nogales, AZ

Sources for this page

Verify at the official NPI Registry.