Individual provider Active NPI

Alexis N Mendoza, CRNA

  • Certified Registered Nurse Anesthetist
  • Doral, FL
National Provider Identifier
1710343272
Registry record updated Feb 1, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
0024177107 Issued in VA
Practice address
3580 NW 85TH CT
Apt 561
Doral, FL 33122-1984
Phone
(407) 409-2985
NPI assigned
Jan 13, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 0024177107 VA Primary
Certified Registered Nurse Anesthetist 367500000X 9283983 FL

Addresses

Primary practice location

3580 NW 85TH CT
Apt 561
Doral, FL 33122-1984

Mailing address

3580 NW 85TH CT
Apt 561
Doral, FL 33122-1984
Phone (407) 409-2985

Other names 1

  • Alex Mendoza Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, VA, OK, IL, KS5 enrollments

Enrollment records 5

Enrollment IDStateProvider typePAC IDDetails
I20160422000024 FL Practitioner - Certified Registered Nurse Anesthetist (Crna) 6800195025 Reassigns benefits to 2 organizations
I20190312000066 VA Practitioner - Certified Registered Nurse Anesthetist (Crna) 6800195025 Reassigns benefits to 2 organizations
I20210913001254 OK Practitioner - Certified Registered Nurse Anesthetist (Crna) 6800195025 Reassigns benefits to 3 organizations
I20230802001247 IL Practitioner - Certified Registered Nurse Anesthetist (Crna) 6800195025 Reassigns benefits to 1 organization
I20260128002532 KS Practitioner - Certified Registered Nurse Anesthetist (Crna) 6800195025 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2015
Medicare assignment
May accept Medicare assignment
Group practices
Emergenchealth PLLCGroup PAC ID 1355606641, 1,037 clinicians
Clinical Colleagues IncGroup PAC ID 8729011333, 170 clinicians
Clinical Colleagues KS PAGroup PAC ID 3870921984, 44 clinicians

Practice addresses (Care Compare)

1027 E Cherry St
HC Hosp Cushing
Cushing, OK 74023-4101
Phone (918) 225-2915

2701 17TH St
Rock Island, IL 61201-5351
Phone (844) 937-1810

600 Medical Ctr Dr
Newton, KS 67114-8780
Phone (850) 985-9180

Hospital & facility affiliations

  • Hillcrest Hospital South Hospital, Tulsa, OK, CCN 370202
  • SSM Health St Anthony Hospital - Midwest Hospital, Midwest City, OK, CCN 370094
  • Hillcrest Medical Center Hospital, Tulsa, OK, CCN 370001
  • Oklahoma Spine Hospital Hospital, Oklahoma City, OK, CCN 370206
  • Trinity Rock Island Hospital, Rock Island, IL, CCN 140280

Merit-based Incentive Payment System (MIPS)

Final score
99.2 of 100Reported as group
Quality
93.03
Promoting interoperability
100
Improvement activities
40
Cost
93.93

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
9283983FLMDCertified Registered Nurse Anesthetist
0024177107VAMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Bon Secours Medical Group Hampton Roads Specialty Care LLC CurrentSince Jun 22, 2020 Accepting new patients
Clinical Colleagues Inc Nurse Anesthetist, Certified Registered CurrentSince Jun 21, 2023 Accepting new patients
Clinical Colleagues KS PA Nurse Anesthetist, Certified Registered CurrentSince Dec 22, 2025 Accepting new patients
Bon Secours Medical Group Hampton Roads Specialty Care LLC Nurse Anesthetist, Certified Registered CurrentSince Jun 22, 2020 Accepting new patients
Clinical Colleagues Inc Nurse Anesthetist, Certified Registered CurrentSince Jun 21, 2023 Accepting new patients
St Luke'S Methodist Hospital Current Accepting new patients
Sheridan Healthcorp Inc Nurse Anesthetist, Certified Registered Current Accepting new patients
Anesthesia Medical Professionals, PLLC CurrentSince Jan 1, 2023 Accepting new patients
Emergenchealth PLLC Nurse Anesthetist, Certified Registered CurrentSince Sep 1, 2024 Accepting new patients
Sheridan Healthcorp Inc Nurse Anesthetist, Certified Registered CurrentSince Oct 29, 2018 Accepting new patients
American Anesthesiology of Florida, Inc CurrentSince Mar 21, 2016 Accepting new patients
Premier Anesthesia of Virginia LLC Nurse Anesthetist, Certified Registered CurrentSince Oct 1, 2020 Accepting new patients
American Anesthesiology of Florida, Inc CurrentSince Mar 21, 2016 Accepting new patients
Sheridan Healthcorp, Inc. CurrentSince Oct 29, 2018 Accepting new patients

Locations

21644 State Road 7
Boca Raton, FL 33428
Phone (561) 488-8210

5352 Linton Blvd
Delray Beach, FL 33484
Phone (561) 495-3166

4500 Newberry Rd
Gainesville, FL 32607
Phone (352) 367-2310

12961 Palms West Dr
Loxahatchee, FL 33470
Phone (561) 793-0437

20900 Biscayne Blvd
Miami, FL 33180
Phone (305) 682-7290

4600 SW 46th Ct
Ocala, FL 34474
Phone (352) 291-3000

60 Memorial Medical Pkwy
Palm Coast, FL 32164
Phone (385) 586-2000

401 NW 42nd Ave
Plantation, FL 33317
Phone (954) 513-6434

695 N Kellogg St
Galesburg, IL 61401
Phone (309) 343-8131

500 John Deere Rd
Moline, IL 61265
Phone (309) 779-2840

2701 17th St
Rock Island, IL 61201
Phone (309) 779-3200

629 S Plummer Ave
Chanute, KS 66720
Phone (316) 431-4000

600 Medical Center Dr
Newton, KS 67114
Phone (316) 283-2700

1 Stiles Rd
Ste 301
Salem, NH 03079

1027 E Cherry St
Cushing, OK 74023
Phone (918) 225-2915

4801 Integris Pkwy
Edmond, OK 73034
Phone (405) 657-3000

10512 N 110th East Ave
Owasso, OK 74055
Phone (918) 272-1172

100 Fairview Dr
Franklin, VA 23851
Phone (757) 516-1153

150 Kingsley Ln
Norfolk, VA 23505
Phone (757) 464-6944

100 Sentara Cir
Williamsburg, VA 23188
Phone (678) 690-7826

Interoperability endpoints

  • Direct secure messaging: amendoza964373@direct.unitypoint.org

Organizations & group practices 15

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.

View all 15

Hospital & facility affiliations 6

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": "1452643200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548979200000",
    "number": "1710343272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3580 NW 85TH CT",
            "address_2": "APT 561",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331221984",
            "telephone_number": "407-409-2985"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3580 NW 85TH CT",
            "address_2": "APT 561",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331221984",
            "telephone_number": "407-409-2985"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENDOZA",
        "first_name": "ALEXIS",
        "middle_name": "N",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-01-13",
        "last_updated": "2019-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "VA",
            "license": "0024177107",
            "primary": true
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "FL",
            "license": "9283983",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALEX",
            "last_name": "MENDOZA",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Doral, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2019; 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.

Verify at the official NPI Registry.