Individual provider Active NPI

Christopher Joseph Mendez

  • Certified Registered Nurse Anesthetist
  • Winter Springs, FL
National Provider Identifier
1780205237
Registry record updated Feb 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
AP61059147 Issued in WA
Practice address
1451 Tree Swallow Dr Apt 223
Winter Springs, FL 32708-6576
Phone
(425) 351-3906
NPI assigned
May 6, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN60261529 WA
Certified Registered Nurse Anesthetist 367500000X AP61059147 WA Primary

Addresses

Primary practice location

1451 Tree Swallow Dr Apt 223
Winter Springs, FL 32708-6576

Mailing address

1451 Tree Swallow Dr Apt 223
Winter Springs, FL 32708-6576
Phone (425) 351-3906

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200721000785 WA Practitioner - Certified Registered Nurse Anesthetist (Crna) 2264856509 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advanced Anesthesia Services PLLCGroup PAC ID 6608159017, 39 clinicians
Rainier Anesthesia Associates PCGroup PAC ID 4284523499, 69 clinicians

Practice addresses (Care Compare)

1145 Broadway
Seattle, WA 98122-4201
Phone (425) 615-6100

407 14TH Ave SE
Puyallup, WA 98372-3770
Phone (253) 848-6661

Hospital & facility affiliations

  • Multicare Good Samaritan Hospital Hospital, Puyallup, WA, CCN 500079

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP61059147WAMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Salish Sedation Services, PLLC Nurse Anesthetist, Certified Registered CurrentSince Apr 1, 2021 Accepting new patients
Aesthetic Eye Associates PS Current Accepting new patients
Rainier Anesthesia Associates PC CurrentSince Apr 20, 2022 Accepting new patients
Aesthetic Eye Associates, PS Current Accepting new patients
Advanced Anesthesia Services, PLLC Nurse Anesthetist, Certified Registered CurrentSince Nov 1, 2023 Accepting new patients
Northwest Gastroenterology Professional LLC PastSince Aug 5, 1998 Accepting new patients

Locations

2930 Squalicum Pkwy
Ste 202
Bellingham, WA 98225
Phone (360) 734-1420

3111 Woburn St
Ste 201
Bellingham, WA 98226
Phone (360) 543-5054

450 NW Gilman Blvd
Ste 303
Issaquah, WA 98027
Phone (425) 310-2542

1301 4th Ave NW
Ste 201
Issaquah, WA 98027
Phone (425) 270-3713

17700 SE 272nd St
Kent, WA 98042
Phone (253) 372-6500

104 27th Ave SE
Puyallup, WA 98374
Phone (253) 770-4099

407 14th Ave SE
Puyallup, WA 98372
Phone (253) 697-4000

1145 Broadway
Seattle, WA 98122

35302 SE Center St
Snoqualmie, WA 98065
Phone (425) 216-8810

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.

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": "1588723200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613692800000",
    "number": "1780205237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1451 TREE SWALLOW DR APT 223",
            "city": "WINTER SPRINGS",
            "state": "FL",
            "postal_code": "327086576",
            "telephone_number": "425-351-3906"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1451 TREE SWALLOW DR APT 223",
            "city": "WINTER SPRINGS",
            "state": "FL",
            "postal_code": "327086576",
            "telephone_number": "425-351-3906"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENDEZ",
        "first_name": "CHRISTOPHER",
        "middle_name": "JOSEPH",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-05-06",
        "last_updated": "2021-02-19",
        "certification_date": "2021-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "WA",
            "license": "RN60261529",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "WA",
            "license": "AP61059147",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winter Springs, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2021; 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.