Selene Mendoza, CNP

Primary specialty

Psychiatric/Mental Health Registered NurseTaxonomy code 163WP0808X

License

CNP01102 Issued in NM

Practice address

1161 Mall Dr
Ste. C
Las Cruces, NM 88011-8193

Phone

(575) 522-2330

Fax

(575) 522-2344

NPI assigned

May 17, 2007

Last updated

Oct 31, 2016By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NM2 enrollments

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 2

Specialty

Nurse Practitioner

Education

Other, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Exclusive Psychiatric Care LLCGroup PAC ID 0446579569, 3 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Memorial Medical Center Hospital, Las Cruces, NM, CCN 320018

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Practitioner, Nurse Practitioner

Practice roles

Locations

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.

• Exclusive Psychiatric Care LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Las Cruces, NM
  • NPI 1609267103
  Medicare reassignment Care Compare group NPD Authorized official
• Exclusive Psychiatric Care

  • Mental Health Counselor
  • Las Cruces, NM
  • NPI 1033430533
  NPD
• Triad Behavioral Health Care LLC

  dba Milagro Community Care

  • Community/Behavioral Health Agency
  • Las Cruces, NM
  • NPI 1346310653
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• PHC-Las Cruces Inc

  dba Memorial Medical Center of Las Cruces

  • General Acute Care Hospital
  • Las Cruces, NM
  • NPI 1700821808
  Care Compare affiliation

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

{
    "created_epoch": "1179360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1477872000000",
    "number": "1366659161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1161 MALL DR STE C",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880118193",
            "telephone_number": "575-522-2330",
            "fax_number": "575-522-2344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1161 MALL DR",
            "address_2": "STE. C",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880118193",
            "telephone_number": "575-522-2330",
            "fax_number": "575-522-2344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENDOZA",
        "first_name": "SELENE",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-17",
        "last_updated": "2016-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "NM",
            "license": "CNP01102",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "45401837",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michael Mendoza, RD
• Miranda Mendoza, COMMUNITY HEALTH WOR
• Pablo Mendoza
• Raven Mendoza
• Sandra Mendoza
• Shelly Allison Mendoza, BSW
• Valeria Mendoza
• Veronica R. Mendoza, LPCC
• Yuridia Mendoza, M.A.,CCC-SLP
• Dale Menges, RPHD

• Psychiatric/Mental Health Registered Nurse in Las Cruces, NM
• Providers in Las Cruces, NM by specialty
• Psychiatric/Mental Health Registered Nurse in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 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.

Verify at the official NPI Registry.