Madeline Romanella Mendoza, CRNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

AC007065 Issued in MD

Practice address

5415 Old Court Rd Ste 2
Randallstown, MD 21133-5170

Phone

(410) 602-7782

NPI assigned

Dec 13, 2024

Last updated

Dec 13, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MD

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

Specialty

Nurse Practitioner

Education

Other, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Lifebridge Community Gastroenterology LLCGroup PAC ID 7618108119, 54 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: mmendoza1240707@direct.umm.edu
• Direct secure messaging: mmendoza1344260@direct.hopkinsmedicine.org

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.

• Lifebridge Community Gastroenterology, LLC

  dba Woodholme Gastroenterology Associates

  • Gastroenterology Physician
  • Pikesville, MD
  • NPI 1033558416
  Medicare reassignment Care Compare group NPD
• Pikesville MD Endoscopy ASC LLC

  dba EndoCentre of Baltimore

  • Ambulatory Surgical Clinic/Center
  • Baltimore, MD
  • NPI 1043497019
  NPD
• Dr Wendy Kloesz, M.D., P.a

  • Family Medicine Physician
  • Baltimore, MD
  • NPI 1144472887
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1734048000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734048000000",
    "number": "1831906890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1211 S EATON ST UNIT 4038",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212244398",
            "telephone_number": "732-470-6623"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5415 OLD COURT RD STE 2",
            "city": "RANDALLSTOWN",
            "state": "MD",
            "postal_code": "211335170",
            "telephone_number": "410-602-7782"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENDOZA",
        "first_name": "MADELINE",
        "middle_name": "ROMANELLA",
        "name_prefix": "Miss",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-12-13",
        "last_updated": "2024-12-13",
        "certification_date": "2024-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "AC007065",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Medication Information Means Empowerment, LLC
• Frederick G. Medinger, LCSWC
• Mediquest, LLC
• Sara Mehrsefat, M.D.
• Joginder Paul Mehta, M.D.
• Ronaldo T Mendoza, PA-C
• Margaret Mensa
• Sara C Merchant, LCSW C
• Mercy Care Inc. (Mercy)
• Mercy Health Systems Inc.

• Family Nurse Practitioner in Randallstown, MD
• Providers in Randallstown, MD by specialty
• Family Nurse Practitioner in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2024; 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.

Verify at the official NPI Registry.