Individual provider Active NPI

Jillian Claire Mendoza, DNP, APRN, FNP-C

  • Family Nurse Practitioner
  • Winter Park, FL
National Provider Identifier
1538892211
Registry record updated Sep 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11020483 Issued in FL
Practice address
7221 Aloma Ave Ste 200
Winter Park, FL 32792-7137
Phone
(407) 657-2111
Fax
(866) 725-4812
NPI assigned
Jul 8, 2022
Last updated
Sep 17, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2024

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 11020483 FL Primary

Addresses

Primary practice location

7221 Aloma Ave Ste 200
Winter Park, FL 32792-7137

Mailing address

17236 Chateau Pine Way
Clermont, FL 34711-5951
Phone (407) 802-9089

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of South Florida College of Medicine, 2022
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

7221 Aloma Ave
Suite 200
Winter Park, FL 32792-7153

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11020483FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Afm Healthcare PastSince May 4, 2023 Accepting new patients

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/FCHDBD

Organizations & group practices 1

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.

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": "1657238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726531200000",
    "number": "1538892211",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17236 CHATEAU PINE WAY",
            "city": "CLERMONT",
            "state": "FL",
            "postal_code": "347115951",
            "telephone_number": "407-802-9089"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7221 ALOMA AVE STE 200",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327927137",
            "telephone_number": "407-657-2111",
            "fax_number": "866-725-4812"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENDOZA",
        "first_name": "JILLIAN",
        "middle_name": "CLAIRE",
        "credential": "DNP, APRN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-08",
        "last_updated": "2024-09-17",
        "certification_date": "2024-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11020483",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winter Park, FL

Sources for this page

Verify at the official NPI Registry.