Individual provider Active NPI

Iley Mae Mendez, APRN, MSN

  • Acute Care Nurse Practitioner
  • Saint Johns, FL
National Provider Identifier
1912624156
Registry record updated Jun 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
11036584 Issued in FL
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

Updated by the provider on Jun 29, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 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
Green means eligible to order or refer.

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

LicenseStateTypeSpecialty
11036584FLMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Goh Medical Single Specialty PastSince Oct 30, 2022 Accepting new patients

Interoperability endpoints

  • FHIR API: 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

Verify at the official NPI Registry.