Active NPI
Jeriah-Travis Buison Mendaro, FNP-C, APRN
- Family Nurse Practitioner
- Aurora, CO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- F10240119
- Practice address
- 13001 E 17TH PL
Aurora, CO 80045-2570 - Phone
- (303) 724-5000
- NPI assigned
- Nov 5, 2024
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | F10240119 | CO | Primary |
Addresses
Primary practice location
13001 E 17TH PL
Aurora, CO 80045-2570
Mailing address
13001 E 17TH PL
Aurora, CO 80045-2570
Other practice location 1
10481 Truckee St
Commerce City, CO 80022-8832
Phone (720) 281-9483
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO
- 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)
1360 S Potomac St
Suite 100
Aurora, CO 80012-4505
Phone (303) 337-5575
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| F10240119 | CO | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mauricio Waintrub, M.D., P.C | Current | Accepting new patients |
Locations
1360 S Potomac St
Ste 100
Aurora, CO 80012
1360 S Potomac St
Denver, CO 80012
Phone 30333755752023
56441 E Colfax Ave
Strasburg, CO 80136
Phone (303) 622-9241
Organizations & group practices 1
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.
-
- Internal Medicine Physician
- Aurora, CO
- NPI 1336172774
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1730764800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1781654400000",
"number": "1801619036",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13001 E 17TH PL",
"city": "AURORA",
"state": "CO",
"postal_code": "800452570"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13001 E 17TH PL",
"city": "AURORA",
"state": "CO",
"postal_code": "800452570",
"telephone_number": "303-724-5000"
}
],
"practiceLocations": [
{
"address_1": "10481 Truckee St",
"address_purpose": "LOCATION",
"city": "Commerce City",
"state": "CO",
"postal_code": "800228832",
"country_code": "US",
"telephone_number": "720-281-9483",
"fax_number": "800-870-5012",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MENDARO",
"first_name": "JERIAH-TRAVIS",
"middle_name": "BUISON",
"credential": "FNP-C, APRN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-11-05",
"last_updated": "2026-06-17",
"certification_date": "2026-06-17",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "CO",
"license": "F10240119",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Aurora, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 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.