Individual provider Active NPI

Jason Mendoza

  • Nurse Practitioner
  • Tucson, AZ
National Provider Identifier
1700660693
Registry record updated Apr 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
338107 Issued in AZ
Practice address
6200 N la Cholla Blvd
Tucson, AZ 85741-3529
Phone
(520) 742-9000
NPI assigned
Aug 22, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 1132860 TX
Nurse Practitioner 363L00000X 338107 AZ Primary

Addresses

Primary practice location

6200 N la Cholla Blvd
Tucson, AZ 85741-3529

Mailing address

804 Lochridge
Amarillo, TX 79118-1401
Phone (806) 336-0464

Other practice location 1

520 E 6th St
Odessa, TX 79761-4527
Phone (432) 582-8000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, AZ2 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

Enrollment IDStateProvider typePAC IDDetails
I20230911002145 TX Practitioner - Nurse Practitioner 3476917337 Reassigns benefits to 2 organizations
I20260513003371 AZ Practitioner - Nurse Practitioner 3476917337 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northwest HBP Medical Services LLCGroup PAC ID 8921356536, 278 clinicians

Practice addresses (Care Compare)

6200 N la Cholla Blvd
Tucson, AZ 85741-3529
Phone (520) 229-2657

Hospital & facility affiliations

  • Northwest Medical Center Hospital, Tucson, AZ, CCN 030085

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
338107AZMDNurse Practitioner
1132860TXMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Comprehensive Hospitalist Services of Texas PLLC CurrentSince Aug 21, 2023 Accepting new patients
Gulf Coast Intensivists, PLLC Nurse Practitioner CurrentSince Nov 20, 2023 Accepting new patients
Comprehensive Hospitalist Services of Texas PLLC Nurse Practitioner CurrentSince Aug 21, 2023 Accepting new patients

Locations

2830 Calder St
Fl 4
Beaumont, TX 77702
Phone (409) 899-5156

600 Elizabeth St
Corpus Christi, TX 78404
Phone (361) 325-2511

1011 N Galloway Ave
Mesquite, TX 75149
Phone (214) 320-7000

520 E 6th St
Odessa, TX 79761
Phone (432) 332-0929

Organizations & group practices 4

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 1

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": "1692662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776902400000",
    "number": "1700660693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "804 LOCHRIDGE",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791181401",
            "telephone_number": "806-336-0464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6200 N LA CHOLLA BLVD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857413529",
            "telephone_number": "520-742-9000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "520 E 6th St",
            "address_purpose": "LOCATION",
            "city": "Odessa",
            "state": "TX",
            "postal_code": "797614527",
            "country_code": "US",
            "telephone_number": "432-582-8000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MENDOZA",
        "first_name": "JASON",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-08-22",
        "last_updated": "2026-04-23",
        "certification_date": "2026-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "TX",
            "license": "1132860",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AZ",
            "license": "338107",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

Verify at the official NPI Registry.