Active NPI
Pedro Alberto Mendoza, AGACNP
- Nurse Practitioner
- Cody, WY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- AP120223
- Practice address
- 707 Sheridan Ave
Cody, WY 82414-3409 - Phone
- (307) 527-7501
- NPI assigned
- Nov 23, 2011
- Last updated
- Mar 25, 2025
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | AP120223 | TX | Primary |
| Acute Care Nurse Practitioner | 363LA2100X | 222969 | CT | |
| Acute Care Nurse Practitioner | 363LA2100X | 95023815 | CA | |
| Registered Nurse | 163W00000X | 705297 | TX |
Addresses
Primary practice location
707 Sheridan Ave
Cody, WY 82414-3409
Mailing address
8608 Spindletop Dr
Fort Worth, TX 76120-2001
Phone (915) 274-2868
Other practice location 1
505 Parnassus Ave
San Francisco, CA 94143-2204
Phone (415) 476-1000
Other practice location 2
20 York St
New Haven, CT 06510-3220
Phone (915) 274-2868
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 222969 | Other | CT | NURSE PRACTITIONER LICENSE |
| 705297 | Other | TX | RN LICENSE |
| 95023815 | Other | CA | ACNP |
| AP120223 | Other | TX | NURSE PRACTITIONER LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX, CA, CT, WY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 4
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
707 Sheridan Ave
Cody, WY 82414-3409
Phone (307) 527-7501
8200 Walnut Hill LN
TX HLTH Presbyterian Dallas
Dallas, TX 75231-4402
Phone (214) 345-6789
Hospital & facility affiliations
- Texas Health Presbyterian Hospital Plano
- Texas Health Presbyterian Hospital Allen
- Texas Health Presbyterian Hospital Flower Mound
Merit-based Incentive Payment System (MIPS)
- Final score
- 92.25 of 100
- Promoting interoperability
- 85
- Improvement activities
- 40
Merit-based Incentive Payment System (MIPS)
- Final score
- 87.99 of 100
- Quality
- 82.16
- Improvement activities
- 40
- Cost
- 76.01
Merit-based Incentive Payment System (MIPS)
- Final score
- 98.98 of 100
- Quality
- 95
- Improvement activities
- 40
- Cost
- 80.65
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 95023815 | CA | MD | Acute Care Nurse Practitioner |
| 222969 | CT | MD | Acute Care Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ipc Healthcare Services of Texas, PLLC | Nurse Practitioner | Current | Accepting new patients |
| Usacs Critical Care Medicine Services of Texas, PLLC | Current | Accepting new patients | |
| Northeast Medical Group, Inc. | Nurse Practitioner | Current | Accepting new patients |
| Usacs Observation Medicine Services of Texas PLLC | Current | Accepting new patients | |
| UCSF Medical Group Business Services | Current | Accepting new patients | |
| University of California San Francisco | Current | Accepting new patients | |
| Cody Regional Health EMS | Current | Accepting new patients | |
| West Park Hospital District | Current | Accepting new patients | |
| UCSF Medical Group Business Services | Nurse Practitioner | Current | Accepting new patients |
| Lonestar Hospital Medicine Associates, PA | Current | Accepting new patients | |
| University Anesthesia Medical Group | Current | Accepting new patients | |
| West Park Hospital District | Current | Accepting new patients | |
| University of California San Francisco | Current | Accepting new patients | |
| Usacs Integrated Acute Care Services of Texas, PLLC | Current | Accepting new patients | |
| University of California San Francisco | Current | Accepting new patients | |
| West Park Hospital District | Current | Accepting new patients | |
| Inpatient Specialists of California, PC | Current | Accepting new patients | |
| Cogent Healthcare of Texas, PA | Nurse Practitioner | Current | Accepting new patients |
| Running Wild Sea, LLC | Past | Accepting new patients | |
| Central River Healthcare Group, PLLC | Past | Accepting new patients | |
| Texas Pulmonary & Critical Care Consultants, PA | Past | Accepting new patients |
Locations (25 of 26)
2001 The Embarcadero
Ste 1500
San Francisco, CA 94143
Phone (415) 353-1606
2330 Post St
San Francisco, CA 94115
Phone (415) 502-4444
400 Parnassus Ave
#A632
San Francisco, CA 94143
Phone (415) 473-1000
505 Parnassus Ave
San Francisco, CA 94143
Phone (415) 476-9058
1800 N California St
Stockton, CA 95204
Phone (209) 467-6400
400 W Mineral King Ave
Visalia, CA 93291
Phone (559) 624-2001
267 Grant St
Bridgeport, CT 06610
Phone (203) 384-3170
20 York St
North Haven, CT 06510
Phone (203) 688-2433
95 Armory Rd
Stratford, CT 06614
Phone (203) 384-3388
11113 Research Blvd
Austin, TX 78759
Phone (512) 324-1125
1201 W 38th St
Austin, TX 78705
Phone (512) 324-1058
12221 N Mopac Expy
Austin, TX 78758
Phone (512) 901-2530
1500 Red River St
Austin, TX 78701
Phone (512) 324-0150
3501 Mills Ave
Austin, TX 78731
Phone (512) 324-1017
901 W Ben White Blvd
Austin, TX 78704
Phone (512) 342-2382
8200 Walnut Hill Ln
Dallas, TX 75231
Phone (214) 345-6148
2000 Scenic Dr
Georgetown, TX 78626
Phone (512) 863-2117
260 Cully Dr
Kerrville, TX 78028
Phone (830) 258-7323
6001 Kyle Pkwy
Kyle, TX 78640
Phone (512) 504-5000
11800 Astoria Blvd
Pearland, TX 77089
Phone (281) 929-6100
2400 Round Rock Ave
Round Rock, TX 78681
Phone (512) 255-6066
111 Dallas St
San Antonio, TX 78205
Phone (210) 297-7000
2600 Saint Michael Dr
Texarkana, TX 75503
Phone (903) 614-1000
6801 Emmett F Lowry Expy
Texas City, TX 77591
Phone (409) 938-5095
424 Yellowstone Ave
Ste 120
Cody, WY 82414
Phone (307) 578-2903
Interoperability endpoints
- pmendoza348815@ahs.direct-ci.com
- pmendoza745071@hisp.ehr.sutterhealth.org
Organizations & group practices 21
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.
-
dba Cody Regional Health
- Critical Access Hospital
- Cody, WY
- NPI 1558351536
-
- Internal Medicine Physician
- Dallas, TX
- NPI 1992722953
Nurse Practitioner
-
- Internal Medicine Physician
- San Bernardino, CA
- NPI 1952792475
-
- Hospitalist Physician
- San Antonio, TX
- NPI 1023403011
Nurse Practitioner
-
- Hospitalist Physician
- Mansfield, TX
- NPI 1518237429
-
- Internal Medicine Physician
- Bridgeport, CT
- NPI 1043278351
Nurse Practitioner
-
- Internal Medicine Physician
- San Francisco, CA
- NPI 1477624104
Nurse Practitioner
-
- Anesthesiology Physician
- San Francisco, CA
- NPI 1528137296
-
dba UCSF Pediatrics Group
- Pediatrics Physician
- San Francisco, CA
- NPI 1861578973
-
- Critical Care Medicine (Internal Medicine) Physician
- Cedar Park, TX
- NPI 1023522554
-
- Internal Medicine Physician
- Cedar Park, TX
- NPI 1801300322
-
- Emergency Medicine Physician
- Round Rock, TX
- NPI 1134606353
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Texas Health Presbyterian Hospital Flower Mound
- General Acute Care Hospital
- Flower Mound, TX
- NPI 1902047376
-
- General Acute Care Hospital
- Allen, TX
- NPI 1548291883
-
- General Acute Care Hospital
- Plano, TX
- NPI 1770514077
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1322006400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1742860800000",
"number": "1861769598",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8608 SPINDLETOP DR",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761202001",
"telephone_number": "915-274-2868"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "707 SHERIDAN AVE",
"city": "CODY",
"state": "WY",
"postal_code": "824143409",
"telephone_number": "307-527-7501"
}
],
"practiceLocations": [
{
"address_1": "505 Parnassus Ave",
"address_purpose": "LOCATION",
"city": "San Francisco",
"state": "CA",
"postal_code": "941432204",
"country_code": "US",
"telephone_number": "415-476-1000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "20 York St",
"address_purpose": "LOCATION",
"city": "New Haven",
"state": "CT",
"postal_code": "065103220",
"country_code": "US",
"telephone_number": "915-274-2868",
"fax_number": "475-246-9094",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MENDOZA",
"first_name": "PEDRO",
"middle_name": "ALBERTO",
"credential": "AGACNP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-11-23",
"last_updated": "2025-03-25",
"certification_date": "2025-03-25",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "TX",
"license": "AP120223",
"primary": true
},
{
"code": "363LA2100X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Acute Care",
"state": "CT",
"license": "222969",
"primary": false
},
{
"code": "363LA2100X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Acute Care",
"state": "CA",
"license": "95023815",
"primary": false
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "TX",
"license": "705297",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NURSE PRACTITIONER LICENSE",
"identifier": "222969",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RN LICENSE",
"identifier": "705297",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ACNP",
"identifier": "95023815",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NURSE PRACTITIONER LICENSE",
"identifier": "AP120223",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Cody, WY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2025; 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.