Individual provider Active NPI

Jessica Mendez, ARNP

  • Family Nurse Practitioner
  • Greenacres, FL
National Provider Identifier
1194100073
Registry record updated May 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
ARNP9235381 Issued in FL
Practice address
5700 Lake Worth Rd.
Suite 211
Greenacres, FL 33463
Phone
(561) 331-5155
Fax
(561) 907-6019
NPI assigned
Jul 21, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 4, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X ARNP9235381 FL Primary

Addresses

Primary practice location

5700 Lake Worth Rd.
Suite 211
Greenacres, FL 33463

Mailing address

11191 Grandview MNR
Wellington, FL 33414-8840
Phone (352) 226-6298

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20160411002296 FL Practitioner - Nurse Practitioner 4284932062 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Grace Family Medicine LLCGroup PAC ID 3274944145, 2 clinicians

Practice addresses (Care Compare)

5700 Lake Worth Rd
Suite 211
Greenacres, FL 33463-3275
Phone (561) 331-5155

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ARNP9235381FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Grace Family Medicine, LLC CurrentSince Oct 1, 2020 Accepting new patients
Medical Specialists of the Palm Beaches Inc PastSince Oct 1, 2020 Accepting new patients

Locations

5700 Lake Worth Rd
Ste 211
Greenacres, FL 33463
Phone (561) 331-5155

12788 Forest Hill Blvd
Ste 1004
Wellington, FL 33414
Phone (561) 246-1791

12785 Forest Hill Blvd
Ste 8E
Wellington, FL 33414
Phone (561) 331-5155

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, 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": "1437436800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746316800000",
    "number": "1194100073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11191 GRANDVIEW MNR",
            "city": "WELLINGTON",
            "state": "FL",
            "postal_code": "334148840",
            "telephone_number": "352-226-6298"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5700 LAKE WORTH RD.",
            "address_2": "SUITE 211",
            "city": "GREENACRES",
            "state": "FL",
            "postal_code": "33463",
            "telephone_number": "561-331-5155",
            "fax_number": "561-907-6019"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENDEZ",
        "first_name": "JESSICA",
        "name_prefix": "Mrs.",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-07-21",
        "last_updated": "2025-05-04",
        "certification_date": "2025-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "ARNP9235381",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenacres, FL

Sources for this page

Verify at the official NPI Registry.