Individual provider Active NPI

Jessica Mendez, CRNP

  • Nurse Practitioner
  • New Freedom, PA
National Provider Identifier
1922559418
Registry record updated Dec 3, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
RN615531 Issued in PA
Practice address
13515 Wolfe Rd
Ste C
New Freedom, PA 17349-9346
Phone
(717) 812-2501
Fax
(717) 812-2510
NPI assigned
Oct 19, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X RN615531 PA Primary

Addresses

Primary practice location

13515 Wolfe Rd
Ste C
New Freedom, PA 17349-9346

Mailing address

3421 Concord Rd
York, PA 17402-9001
Phone (717) 812-2501

Other names 1

  • Jessica Feld Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20170207001847 PA Practitioner - Nurse Practitioner 1850674334 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Lancaster General HospitalGroup PAC ID 1254240039, 520 clinicians
Lancaster General Medical GroupGroup PAC ID 0941103683, 590 clinicians

Practice addresses (Care Compare)

2112 Harrisburg Pike
Suite 312
Lancaster, PA 17601-2644
Phone (717) 544-3022

3045 Marietta Ave
Lancaster, PA 17601-1321
Phone (717) 299-4644

554 N Duke St
LGHP Penn Med Plastic and Cosmetic Surgery
Lancaster, PA 17602-2250
Phone (717) 291-5863

555 N Duke St
Lancaster, PA 17602-2250

555 N Duke St 1St Floor
LGHP Penn Medicine Behavioral Health
Lancaster, PA 17602-2250
Phone (717) 560-3782

Hospital & facility affiliations

  • Penn Medicine Home Health Lancaster General Health Home health agency, Lancaster, PA, CCN 397013
  • Lancaster General Hospital Hospital, Lancaster, PA, CCN 390100

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN615531PAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Lancaster General Medical Group Current Accepting new patients
Wellspan Medical Group CurrentSince Dec 14, 2016 Accepting new patients
Lancaster General Medical Group CurrentSince Aug 28, 2023 Accepting new patients
Wellspan Medical Group CurrentSince Dec 14, 2016 Accepting new patients
Lancaster General Hospital CurrentSince Aug 28, 2023 Accepting new patients
Lancaster General Hospital Current Accepting new patients
Lancaster General Medical Group CurrentSince Aug 28, 2023 Accepting new patients
Wellspan Medical Group Current Accepting new patients
Lancaster General Hospital CurrentSince Aug 28, 2023 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Lancaster General Medical Group Past Accepting new patients
Lancaster General Medical Group Past Accepting new patients

Locations

1006 New Holland Ave
Lancaster, PA 17601
Phone (717) 397-8251

2112 Harrisburg Pike
Ste 312
Lancaster, PA 17601
Phone (717) 544-3022

3045 Marietta Ave
Lancaster, PA 17601
Phone (717) 299-4644

13515 Wolfe Rd
Ste C
New Freedom, PA 17349
Phone (717) 812-2501

317 Chestnut St
Quarryville, PA 17566
Phone (717) 544-3555

3421 Concord Rd
York, PA 17402
Phone (717) 851-2441

25 Monument Rd
Ste 270
York, PA 17403
Phone (717) 741-8250

1600 S George St
York, PA 17403
Phone (717) 848-3615

Organizations & group practices 34

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.

View all 34

Hospital & facility affiliations 3

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": "1476835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1543795200000",
    "number": "1922559418",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3421 CONCORD RD",
            "city": "YORK",
            "state": "PA",
            "postal_code": "174029001",
            "telephone_number": "717-812-2501",
            "fax_number": "717-812-2510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13515 WOLFE RD",
            "address_2": "STE C",
            "city": "NEW FREEDOM",
            "state": "PA",
            "postal_code": "173499346",
            "telephone_number": "717-812-2501",
            "fax_number": "717-812-2510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENDEZ",
        "first_name": "JESSICA",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-10-19",
        "last_updated": "2018-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "PA",
            "license": "RN615531",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JESSICA",
            "last_name": "FELD",
            "credential": "CRNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in New Freedom, PA

Sources for this page

Verify at the official NPI Registry.