Active NPI
Juan Pablo Mendez, C.R.N.A.
- Certified Registered Nurse Anesthetist
- Wichita, KS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 558042
- Practice address
- 6505 E. Central, Suite 288
Wichita, KS 67206-1924 - Phone
- (316) 789-8444
- Fax
- (316) 789-8444
- NPI assigned
- Sep 29, 2022
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 147049 | KS | |
| Certified Registered Nurse Anesthetist | 367500000X | 222401 | OK | |
| Certified Registered Nurse Anesthetist | 367500000X | 558042 | KS | Primary |
Addresses
Primary practice location
6505 E. Central, Suite 288
Wichita, KS 67206-1924
Mailing address
13716 E. Mainsgate St.
Wichita, KS 67228-8049
Phone (210) 528-0047
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KS, OK
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20221201001916 | KS | Practitioner - Certified Registered Nurse Anesthetist (Crna) | 1850769480 | Reassigns benefits to 2 organizations |
| I20250320000720 | OK | Practitioner - Certified Registered Nurse Anesthetist (Crna) | 1850769480 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Deaconess Anesthesia Services, LLCPortland Anesthesia Services LLC
Practice addresses (Care Compare)
5501 N Portland Ave
Oklahoma City, OK 73112-2074
Phone (405) 604-6000
Hospital & facility affiliations
- Integris Baptist Medical Center, Inc
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 147049 | KS | MD | Registered Nurse |
| 558042 | KS | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ascension Medical Group Via Christi, PA | Current | Accepting new patients | |
| Ascension Medical Group Via Christi, PA | Current | Accepting new patients | |
| Mid-Continent Anesthesiology Chartered | Current | Accepting new patients | |
| Deaconess Anesthesia Services LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
Locations
550 N Hillside St
Wichita, KS 67214
Phone (316) 688-2239
1947 N Founders Cir
Wichita, KS 67206
Phone (316) 613-4640
3311 E Murdock St
Wichita, KS 67208
Phone (316) 689-9107
5501 N Portland Ave
Oklahoma City, OK 73112
Phone (405) 604-6000
Organizations & group practices 5
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.
-
- Anesthesiology Physician
- Oklahoma City, OK
- NPI 1912432048
Nurse Anesthetist, Certified Registered, OK
-
- Rural Health Clinic/Center
- Wellington, KS
- NPI 1538773569
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Psychiatric Hospital Unit
- Oklahoma City, OK
- NPI 1598837221
Hospital
-
- General Acute Care Hospital
- Oklahoma City, OK
- NPI 1831103654
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1664409600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1742774400000",
"number": "1659095958",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13716 E. MAINSGATE ST.",
"city": "WICHITA",
"state": "KS",
"postal_code": "672288049",
"telephone_number": "210-528-0047"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6505 E. CENTRAL, SUITE 288",
"city": "WICHITA",
"state": "KS",
"postal_code": "672061924",
"telephone_number": "316-789-8444",
"fax_number": "316-789-8444"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MENDEZ",
"first_name": "JUAN",
"middle_name": "PABLO",
"name_prefix": "Mr.",
"credential": "C.R.N.A.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-09-29",
"last_updated": "2025-03-24",
"certification_date": "2025-03-24",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "KS",
"license": "147049",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "OK",
"license": "222401",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "KS",
"license": "558042",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wichita, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.