Active NPI
Iley Mae Mendez, APRN, MSN
- Acute Care Nurse Practitioner
- Saint Johns, FL
National Provider Identifier
1912624156
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acute Care Nurse Practitioner
- License
- 11036584
- Practice address
- 205 Trinity Way
Saint Johns, FL 32259-1155 - Phone
- (904) 691-1000
- NPI assigned
- Oct 27, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acute Care Nurse Practitioner | 363LA2100X | 11036584 | FL | Primary |
| Adult Health Nurse Practitioner | 363LA2200X | 11036584 | FL |
Addresses
Primary practice location
205 Trinity Way
Saint Johns, FL 32259-1155
Mailing address
300 Saint Elizabeth Way Ste 270
Saint Johns, FL 32259-1152
Phone (904) 691-9159
Other practice location 1
300 Saint Elizabeth Way Ste 270
Saint Johns, FL 32259-1152
Phone (904) 691-9159
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2019
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
300 Saint Elizabeth Way
Suite 270
Saint Johns, FL 32259-1152
4205 Belfort Rd
Suite 4015
Jacksonville, FL 32216-1464
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science - Nursing
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11036584 | FL | MD | Acute Care Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Goh Medical | Single Specialty | Past | Accepting new patients |
Interoperability endpoints
- https://api.platform.athenahealth.com/6333/brand/1/csg/1/fhir/r4
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1666828800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1782691200000",
"number": "1912624156",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "300 SAINT ELIZABETH WAY STE 270",
"city": "SAINT JOHNS",
"state": "FL",
"postal_code": "322591152",
"telephone_number": "904-691-9159",
"fax_number": "904-691-9159"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "205 TRINITY WAY",
"city": "SAINT JOHNS",
"state": "FL",
"postal_code": "322591155",
"telephone_number": "904-691-1000"
}
],
"practiceLocations": [
{
"address_1": "300 Saint Elizabeth Way Ste 270",
"address_purpose": "LOCATION",
"city": "Saint Johns",
"state": "FL",
"postal_code": "322591152",
"country_code": "US",
"telephone_number": "904-691-9159",
"fax_number": "904-691-9159",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MENDEZ",
"first_name": "ILEY",
"middle_name": "MAE",
"credential": "APRN, MSN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-10-27",
"last_updated": "2026-06-29",
"certification_date": "2026-06-29",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2100X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Acute Care",
"state": "FL",
"license": "11036584",
"primary": true
},
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "FL",
"license": "11036584",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Saint Johns, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 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.