Individual provider Active NPI

Yesenia Mendoza, APRN

  • Family Nurse Practitioner
  • Michigan City, IN
National Provider Identifier
1497645204
Registry record updated Jul 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
71016801A Issued in IN
Practice address
10176 W 400 N Ste D
Michigan City, IN 46360-9009
Phone
(219) 878-0029
NPI assigned
Jul 4, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 17, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 71016801A IN
Family Nurse Practitioner 363LF0000X 71016801A IN Primary

Addresses

Primary practice location

10176 W 400 N Ste D
Michigan City, IN 46360-9009

Mailing address

10176 W 400 N Ste D
Michigan City, IN 46360-9009
Phone (219) 707-6696

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20250917002884 IN Practitioner - Nurse Practitioner 1759885387 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

5058 Central Ave
Portage, IN 46368-2730

9128 Columbia Ave
Munster, IN 46321-2547

Hospital & facility affiliations

  • Franciscan Health Michigan City Hospital, Michigan City, IN, CCN 150015

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
71016801AINMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Childrens & Family Medicine Clinic PC Family Medicine CurrentSince Aug 1, 2025 Accepting new patients
Childrens and Family Health Clinic Family Medicine PastSince Aug 1, 2025 Accepting new patients
Azra S Sheriff MD PC Past Accepting new patients

Locations

205 E 86th Ct
Merrillville, IN 46410
Phone (219) 769-9070

205 E 86th Ct
Ste D
Merrillville, IN 46410

10176 W 400 N
Ste D
Michigan City, IN 46360
Phone (219) 214-2047

9128 Columbia Ave
Munster, IN 46321
Phone (219) 836-2730

9128 Columbia Ave
Ste A
Munster, IN 46321
Phone (219) 836-2730

Organizations & group practices 3

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.

Hospital & facility affiliations 2

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

NPI Registry JSON

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

{
    "created_epoch": "1751587200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752710400000",
    "number": "1497645204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10176 W 400 N STE D",
            "city": "MICHIGAN CITY",
            "state": "IN",
            "postal_code": "463609009",
            "telephone_number": "219-707-6696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10176 W 400 N STE D",
            "city": "MICHIGAN CITY",
            "state": "IN",
            "postal_code": "463609009",
            "telephone_number": "219-878-0029"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENDOZA",
        "first_name": "YESENIA",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-07-04",
        "last_updated": "2025-07-17",
        "certification_date": "2025-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IN",
            "license": "71016801A",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "71016801A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Michigan City, IN

Sources for this page

Verify at the official NPI Registry.