Active NPI
Patricia Mendoza, PA
- Physician Assistant
- McAllen, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA04544
- Practice address
- 1301 E Fern Ave
Ste B-3
McAllen, TX 78501-1466 - Phone
- (956) 971-9548
- Fax
- (956) 686-0928
- NPI assigned
- Mar 26, 2007
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA04544 | TX | Primary |
Addresses
Primary practice location
1301 E Fern Ave
Ste B-3
McAllen, TX 78501-1466
Mailing address
1301 E Fern Ave
Ste B-3
McAllen, TX 78501-1466
Phone (956) 971-9548
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 291194YLPS | Other | TX | WELLMED PTAN |
| 326499601 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20070515000393 | TX | Practitioner - Physician Assistant | 0345347001 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Wellmed Medical Group PA
Practice addresses (Care Compare)
1301 E Fern Ave
B3 Wellmed at Cross Roads
McAllen, TX 78501-1467
Phone (956) 971-9548
6157 NW Loop 410
124 Wellmed at Ingram Park
San Antonio, TX 78238-3302
Phone (210) 523-1411
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA04544 | TX | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wellmed Medical Group, PA | Current | Accepting new patients |
Locations
1301 E Fern Ave
Ste B3
McAllen, TX 78501
Phone (956) 971-9548
8637 Fredericksburg Rd
Ste 360
San Antonio, TX 78240
Phone (210) 304-3500
6157 NW Loop 410
Ste 124
San Antonio, TX 78238
Phone (210) 523-1411
Interoperability endpoints
- patricia.mendoza@wellmed.eclinicaldirectplus.com
Organizations & group practices 2
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.
-
- Family Medicine Physician
- Las Cruces, NM
- NPI 1659679157
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174867200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1465948800000",
"number": "1144348798",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1301 E FERN AVE",
"address_2": "STE B-3",
"city": "MCALLEN",
"state": "TX",
"postal_code": "785011466",
"telephone_number": "956-971-9548",
"fax_number": "956-686-0928"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1301 E FERN AVE",
"address_2": "STE B-3",
"city": "MCALLEN",
"state": "TX",
"postal_code": "785011466",
"telephone_number": "956-971-9548",
"fax_number": "956-686-0928"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MENDOZA",
"first_name": "PATRICIA",
"name_prefix": "Ms.",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-26",
"last_updated": "2016-06-15",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "TX",
"license": "PA04544",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WELLMED PTAN",
"identifier": "291194YLPS",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "326499601",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in McAllen, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2016; 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.