Active NPI
Breanna Kathleen Mendoza, APRN
- Nurse Practitioner
- Sebring, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- APRN11034730
- Practice address
- 4958 Sun N Lake Blvd Ste B
Sebring, FL 33872-2159 - Phone
- (863) 386-4711
- NPI assigned
- Aug 13, 2024
- Last updated
- Oct 14, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | APRN11034730 | FL | Primary |
Addresses
Primary practice location
4958 Sun N Lake Blvd Ste B
Sebring, FL 33872-2159
Mailing address
500 Reba Dr
Lake Placid, FL 33852-6827
Phone (863) 633-8606
Other practice location 1
511 W Interlake Blvd
Lake Placid, FL 33852-0703
Phone (863) 386-4711
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: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
5115 US Hwy 27 N
Suite 100
Sebring, FL 33870-1323
Phone (863) 385-2222
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Florida Joint & Spine Institute PA | Current | Accepting new patients | |
| Florida Joint & Spine Institute PA | Current | Accepting new patients |
Locations
5115 US 27 N
Ste 100
Sebring, FL 33870
Phone (863) 385-2222
146 Avenue B NW
Winter Haven, FL 33881
Phone (863) 229-3210
Networks
- Optimum HealthCare HMO Network
- Freedom Health HMO Network
Interoperability endpoints
- breanna.mendoza@floridajointandspine.directbygreenway.com
- https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.140.71998
Organizations & group practices 2
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.
-
- Orthopaedic Surgery Physician
- Sebring, FL
- NPI 1992705487
-
- Durable Medical Equipment & Medical Supplies
- Winter Haven, FL
- NPI 1215526884
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba AdventHealth Cancer Institute Sebring
- General Acute Care Hospital
- Sebring, FL
- NPI 1083692594
-
dba HCA Florida Highlands Hospital
- General Acute Care Hospital
- Sebring, FL
- NPI 1598282246
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1723507200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1791936000000",
"number": "1740011303",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "500 REBA DR",
"city": "LAKE PLACID",
"state": "FL",
"postal_code": "338526827",
"telephone_number": "863-633-8606"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4958 SUN N LAKE BLVD STE B",
"city": "SEBRING",
"state": "FL",
"postal_code": "338722159",
"telephone_number": "863-386-4711"
}
],
"practiceLocations": [
{
"address_1": "511 W Interlake Blvd",
"address_purpose": "LOCATION",
"city": "Lake Placid",
"state": "FL",
"postal_code": "338520703",
"country_code": "US",
"telephone_number": "863-386-4711",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MENDOZA",
"first_name": "BREANNA",
"middle_name": "KATHLEEN",
"name_prefix": "Mrs.",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-08-13",
"last_updated": "2026-10-14",
"certification_date": "2026-10-14",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "FL",
"license": "APRN11034730",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sebring, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.