Individual provider Active NPI

Yarines Gonzalez Mendoza, NP-C

  • Family Nurse Practitioner
  • Odessa, TX
National Provider Identifier
1770803595
Registry record updated Jun 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP126861 Issued in TX
Practice address
500 N Washington Ave
Odessa, TX 79761-4401
Phone
(432) 640-3774
Fax
(432) 640-4774
NPI assigned
Jun 3, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 5, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 1577 PR
Family Nurse Practitioner 363LF0000X ARNP9242132 FL
Family Nurse Practitioner 363LF0000X AP126861 TX Primary

Addresses

Primary practice location

500 N Washington Ave
Odessa, TX 79761-4401

Mailing address

PO Box 2129
Odessa, TX 79760-2129
Phone (432) 640-3774

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171020001697 FL Practitioner - Nurse Practitioner 5496079212 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
79.78 of 100Reported as group
Quality
60.9
Promoting interoperability
100
Improvement activities
40
Cost
66.21

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1577PRMDRegistered Nurse
ARNP9242132FLMDFamily Nurse Practitioner
AP126861TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Solantic of Jacksonville, LLC CurrentSince Apr 24, 2018 Accepting new patients
Shands/Solantic Joint Venture, LLC CurrentSince Apr 24, 2018 Accepting new patients
Carespot of Orlando Hsi Urgent Care LLC CurrentSince Apr 24, 2018 Accepting new patients
Hma/Solantic Joint Venture, LLC CurrentSince Apr 24, 2018 Accepting new patients
Solantic/South Florida, LLC CurrentSince Apr 24, 2018 Accepting new patients
Metcare of Florida, Inc Past Accepting new patients

Locations

512 E Altamonte Dr
Ste 1000
Altamonte Springs, FL 32701
Phone (321) 319-0212

3840 State Road 436
Ste 1
Apopka, FL 32703
Phone (407) 478-3202

1615 E Highway 50
Ste 200
Clermont, FL 34711
Phone (352) 404-4463

3925 NW 43rd St
Gainesville, FL 32606
Phone (352) 371-1777

720 SW 2nd Ave
Ste 160A
Gainesville, FL 32601
Phone (352) 240-8000

2401 Monument Rd
Jacksonville, FL 32225
Phone (904) 642-0337

2032 Dunn Ave
Jacksonville, FL 32218
Phone (904) 757-2008

2555 S Kirkman Rd
Orlando, FL 32811
Phone (407) 362-2030

2323 S Orange Ave
Orlando, FL 32806
Phone (407) 418-9999

2323 S Orange Ave
Ste A
Orlando, FL 32806
Phone (407) 418-9999

9035 Pines Blvd
Pembroke Pines, FL 33024
Phone (954) 340-5881

784 E Prima Vista Blvd
Port St Lucie, FL 34952
Phone (772) 878-7311

1820 58th Ave
Ste 110
Vero Beach, FL 32966
Phone (772) 257-3200

463941 State Road 200
Yulee, FL 32097
Phone (904) 572-1959

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/86d17ea7-c0d4-4a9e-851b-e7036c82ae16/
  • Direct secure messaging: ygonzalezmendoza264287@baptisthealthsystemjacksonville.direct-ci.com

Organizations & group practices 7

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": "1275523200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685923200000",
    "number": "1770803595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2129",
            "city": "ODESSA",
            "state": "TX",
            "postal_code": "797602129",
            "telephone_number": "432-640-3774",
            "fax_number": "432-670-4774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 N WASHINGTON AVE",
            "city": "ODESSA",
            "state": "TX",
            "postal_code": "797614401",
            "telephone_number": "432-640-3774",
            "fax_number": "432-640-4774"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALEZ MENDOZA",
        "first_name": "YARINES",
        "credential": "NP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-06-03",
        "last_updated": "2023-06-05",
        "certification_date": "2023-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "PR",
            "license": "1577",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "ARNP9242132",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP126861",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Odessa, TX

Sources for this page

Verify at the official NPI Registry.