Individual provider Active NPI

Arlenne Jeanette Ponce Mendez, M.D.

  • Internal Medicine Physician
  • Panama City, FL
National Provider Identifier
1609213925
Registry record updated Aug 20, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME136481 Issued in FL
Practice address
2420 Jenks Ave Ste B
Panama City, FL 32405-4909
Phone
(850) 770-3260
Fax
(850) 770-3225
NPI assigned
May 28, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2018

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X 19808 PR
Student in an Organized Health Care Education/Training Program 390200000X 33086-R PR
Student in an Organized Health Care Education/Training Program 390200000X 32644-R PR
Internal Medicine Physician 207R00000X ME136481 FL Primary

Addresses

Primary practice location

2420 Jenks Ave Ste B
Panama City, FL 32405-4909

Mailing address

PO Box 11407
Birmingham, AL 35246-1431
Phone (850) 770-3220

Other practice location 1

chalets de la fuente
apt # 301
carolina, PR 00987
Phone (787) 763-4149 ext. 1009

Other identifiers 1

IdentifierTypeStateIssuer
1609213925MedicaidPR

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180815001186 FL Practitioner - Internal Medicine 2062761679 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Best Value Healthcare LLCGroup PAC ID 2668772419, 56 clinicians

Practice addresses (Care Compare)

1305 S Fort Harrison Ave
Suite C
Clearwater, FL 33756-3301
Phone (727) 393-3404

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
19808PRMDStudent in an Organized Health Care Education/Training Program
32644-RPRMDStudent in an Organized Health Care Education/Training Program
33086-RPRMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
Sacred Heart Health System, Inc. Current Accepting new patients
Best Value Healthcare LLC Internal Medicine CurrentSince Apr 28, 2025 Accepting new patients
Best Value Healthcare LLC Internal Medicine PastSince Jun 22, 2021 Accepting new patients

Locations

1305 S Fort Harrison Ave
Ste C
Clearwater, FL 33756
Phone (727) 483-9188

3800 E Bay Dr
Largo, FL 33771
Phone (727) 539-0505

525 Pine Island Rd
Ste A
North Fort Myers, FL 33903
Phone (239) 984-2399

1501 Presidential Way
Ste 12
West Palm Beach, FL 33401
Phone (407) 471-9484

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

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.

NPI Registry JSON

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

{
    "created_epoch": "1369699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1534723200000",
    "number": "1609213925",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 11407",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352461431",
            "telephone_number": "850-770-3220",
            "fax_number": "850-770-3225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2420 JENKS AVE STE B",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324054909",
            "telephone_number": "850-770-3260",
            "fax_number": "850-770-3225"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "chalets de la fuente",
            "address_2": "apt # 301",
            "address_purpose": "LOCATION",
            "city": "carolina",
            "state": "PR",
            "postal_code": "00987",
            "country_code": "US",
            "telephone_number": "787-763-4149 x1009",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PONCE MENDEZ",
        "first_name": "ARLENNE",
        "middle_name": "JEANETTE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-05-28",
        "last_updated": "2018-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "PR",
            "license": "19808",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "PR",
            "license": "33086-R",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "PR",
            "license": "32644-R",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME136481",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1609213925",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Panama City, FL

Sources for this page

Verify at the official NPI Registry.