Individual provider Active NPI

Jacqueline Mendez, NP

  • Family Nurse Practitioner
  • Webster, TX
National Provider Identifier
1871204883
Registry record updated Dec 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1100628 Issued in TX
Practice address
110 E Medical Center Blvd
Webster, TX 77598-4301
Phone
(832) 224-9500
NPI assigned
Dec 9, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 1100628 TX Primary

Addresses

Primary practice location

110 E Medical Center Blvd
Webster, TX 77598-4301

Mailing address

18333 Egret Bay Blvd Ste 140
Houston, TX 77058-3239
Phone (281) 332-3001

Other practice location 1

18333 Egret Bay Blvd Ste 140
Houston, TX 77058-3239
Phone (281) 332-3001

Other practice location 2

10800 Flora Mae Meadows Rd
Houston, TX 77089-5974
Phone (832) 328-2350

Other practice location 3

709 W Medical Center Blvd
Webster, TX 77598-4005
Phone (281) 332-3322

Other practice location 4

655 E Medical Center Blvd
Webster, TX 77598-4328
Phone (281) 286-1500

Other practice location 5

5020 Space Center Blvd
Pasadena, TX 77505-3966
Phone (713) 575-1800

Other practice location 6

500 W Medical Center Blvd
Webster, TX 77598-4220
Phone (281) 332-2511

Other practice location 7

200 Blossom St
Webster, TX 77598-4204
Phone (832) 632-6500

Other practice location 8

350 Blossom St
Webster, TX 77598-4206
Phone (281) 316-7800

Other practice location 9

4900 E Sam Houston Pkwy S
Pasadena, TX 77505-1400
Phone (281) 998-0399

Other practice location 10

3950 Underwood Rd
LA Porte, TX 77571-3900
Phone (210) 951-1900

Other practice location 11

16130 Highway 3
Webster, TX 77598-2330
Phone (832) 426-7030

Other practice location 12

6150 South Loop E
Houston, TX 77087-1010
Phone (713) 643-2628

Other practice location 13

411 Alabama Ave
League City, TX 77573-2615
Phone (281) 332-9588

Other practice location 14

255 N Egret Bay Blvd
League City, TX 77573-6533
Phone (281) 525-4320

Other practice location 15

1500 Sunset Dr
Friendswood, TX 77546-4724
Phone (281) 992-4300

Other practice location 16

2240 Gulf Fwy S
League City, TX 77573-5143
Phone (409) 772-1011

Other practice location 17

301 University Blvd
Galveston, TX 77555-3239
Phone (409) 772-2222

Other practice location 18

3400 E Walnut St
Pearland, TX 77581-4716
Phone (281) 485-2776

Other identifiers 2

IdentifierTypeStateIssuer
454104701MedicaidTX
8TL747OtherTXBCBS TX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20230207000713 TX Practitioner - Nurse Practitioner 1658743380 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
May accept Medicare assignment
Group practices
Utmb Faculty Group PracticeGroup PAC ID 3375456734, 1,083 clinicians
XpertmdGroup PAC ID 5193092393, 39 clinicians

Practice addresses (Care Compare)

301 University Blvd
Galveston, TX 77555-5302
Phone (409) 772-2222

500 W Medical Ctr Blvd
Webster, TX 77598-4220
Phone (281) 332-3001

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
78.88 of 100Reported as group
Quality
73.38
Improvement activities
40
Cost
78.42

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
KND Development 59 LLC Current Accepting new patients
KND Development 59 LLC CurrentSince Mar 9, 2023 Accepting new patients
Xpertmd Family CurrentSince Jan 1, 2023 Accepting new patients
KND Development 59, LLC CurrentSince Mar 9, 2023 Accepting new patients
Utmb Faculty Group Practice CurrentSince Sep 1, 2024 Accepting new patients

Locations

1500 Sunset Dr
Friendswood, TX 77546
Phone (281) 922-4300

301 University Blvd
Galveston, TX 77555
Phone (409) 747-1883

1005 Harborside Dr
Fl 6
Galveston, TX 77555

10800 Flora Mae Meadows Rd
Houston, TX 77089
Phone (832) 328-2350

6150 South Loop E
Houston, TX 77087
Phone (713) 640-2400

6441 Main St
Houston, TX 77030
Phone (713) 790-0500

18300 Houston Methodist Dr
Houston, TX 77058
Phone (281) 206-9020

18333 Egret Bay Blvd
Ste 140
Houston, TX 77058
Phone (281) 218-8797

3950 Underwood Rd
La Porte, TX 77571
Phone (210) 951-1900

411 Alabama Ave
League City, TX 77573
Phone (281) 332-9588

2240 Gulf Fwy S
League City, TX 77573
Phone (832) 505-1000

255 N Egret Bay Blvd
League City, TX 77573
Phone (281) 525-4320

5020 Space Center Blvd
Pasadena, TX 77505
Phone (713) 575-1800

4900 E Sam Houston Pkwy S
Pasadena, TX 77505
Phone (281) 998-0399

16100 South Fwy
Pearland, TX 77584
Phone (713) 413-5000

11800 Astoria Blvd
Pearland, TX 77089
Phone (281) 929-6100

3400 E Walnut St
Pearland, TX 77581
Phone (281) 485-2776

110 E Medical Center Blvd
Webster, TX 77598
Phone (281) 218-8797

655 E Medical Center Blvd
Webster, TX 77598
Phone (281) 218-8797

200 Blossom St
Webster, TX 77598
Phone (281) 252-7000

16130 Highway 3
Webster, TX 77598
Phone (832) 426-7030

500 W Medical Center Blvd
Webster, TX 77598
Phone (713) 447-4650

350 Blossom St
Webster, TX 77598
Phone (281) 316-7800

709 W Medical Center Blvd
Webster, TX 77598
Phone (281) 316-8070

Interoperability endpoints

  • Direct secure messaging: jmendez31068@direct.utmb.edu

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1670544000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701993600000",
    "number": "1871204883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18333 EGRET BAY BLVD STE 140",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770583239",
            "telephone_number": "281-332-3001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 E MEDICAL CENTER BLVD",
            "city": "WEBSTER",
            "state": "TX",
            "postal_code": "775984301",
            "telephone_number": "832-224-9500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "18333 Egret Bay Blvd Ste 140",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770583239",
            "country_code": "US",
            "telephone_number": "281-332-3001",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10800 Flora Mae Meadows Rd",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770895974",
            "country_code": "US",
            "telephone_number": "832-328-2350",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "709 W Medical Center Blvd",
            "address_purpose": "LOCATION",
            "city": "Webster",
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            "postal_code": "775984005",
            "country_code": "US",
            "telephone_number": "281-332-3322",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "655 E Medical Center Blvd",
            "address_purpose": "LOCATION",
            "city": "Webster",
            "state": "TX",
            "postal_code": "775984328",
            "country_code": "US",
            "telephone_number": "281-286-1500",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5020 Space Center Blvd",
            "address_purpose": "LOCATION",
            "city": "Pasadena",
            "state": "TX",
            "postal_code": "775053966",
            "country_code": "US",
            "telephone_number": "713-575-1800",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "500 W Medical Center Blvd",
            "address_purpose": "LOCATION",
            "city": "Webster",
            "state": "TX",
            "postal_code": "775984220",
            "country_code": "US",
            "telephone_number": "281-332-2511",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "200 Blossom St",
            "address_purpose": "LOCATION",
            "city": "Webster",
            "state": "TX",
            "postal_code": "775984204",
            "country_code": "US",
            "telephone_number": "832-632-6500",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "350 Blossom St",
            "address_purpose": "LOCATION",
            "city": "Webster",
            "state": "TX",
            "postal_code": "775984206",
            "country_code": "US",
            "telephone_number": "281-316-7800",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4900 E Sam Houston Pkwy S",
            "address_purpose": "LOCATION",
            "city": "Pasadena",
            "state": "TX",
            "postal_code": "775051400",
            "country_code": "US",
            "telephone_number": "281-998-0399",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3950 Underwood Rd",
            "address_purpose": "LOCATION",
            "city": "LA Porte",
            "state": "TX",
            "postal_code": "775713900",
            "country_code": "US",
            "telephone_number": "210-951-1900",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "16130 Highway 3",
            "address_purpose": "LOCATION",
            "city": "Webster",
            "state": "TX",
            "postal_code": "775982330",
            "country_code": "US",
            "telephone_number": "832-426-7030",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6150 South Loop E",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770871010",
            "country_code": "US",
            "telephone_number": "713-643-2628",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "411 Alabama Ave",
            "address_purpose": "LOCATION",
            "city": "League City",
            "state": "TX",
            "postal_code": "775732615",
            "country_code": "US",
            "telephone_number": "281-332-9588",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "255 N Egret Bay Blvd",
            "address_purpose": "LOCATION",
            "city": "League City",
            "state": "TX",
            "postal_code": "775736533",
            "country_code": "US",
            "telephone_number": "281-525-4320",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1500 Sunset Dr",
            "address_purpose": "LOCATION",
            "city": "Friendswood",
            "state": "TX",
            "postal_code": "775464724",
            "country_code": "US",
            "telephone_number": "281-992-4300",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2240 Gulf Fwy S",
            "address_purpose": "LOCATION",
            "city": "League City",
            "state": "TX",
            "postal_code": "775735143",
            "country_code": "US",
            "telephone_number": "409-772-1011",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "301 University Blvd",
            "address_purpose": "LOCATION",
            "city": "Galveston",
            "state": "TX",
            "postal_code": "775553239",
            "country_code": "US",
            "telephone_number": "409-772-2222",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3400 E Walnut St",
            "address_purpose": "LOCATION",
            "city": "Pearland",
            "state": "TX",
            "postal_code": "775814716",
            "country_code": "US",
            "telephone_number": "281-485-2776",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MENDEZ",
        "first_name": "JACQUELINE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-12-09",
        "last_updated": "2023-12-08",
        "certification_date": "2023-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1100628",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "454104701",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS TX",
            "identifier": "8TL747",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Webster, TX

Sources for this page

Verify at the official NPI Registry.