Individual provider Active NPI

Carlos Mendoza, FNP

  • Family Nurse Practitioner
  • Baton Rouge, LA
National Provider Identifier
1972218766
Registry record updated Aug 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
201574 Issued in LA
Practice address
5131 Odonovan Dr Ste 100
Baton Rouge, LA 70808-4791
Phone
(225) 767-4893
Fax
(225) 767-5494
NPI assigned
Jan 17, 2023
Last updated
Aug 12, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2024

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 201574 LA Primary

Addresses

Primary practice location

5131 Odonovan Dr Ste 100
Baton Rouge, LA 70808-4791

Mailing address

5131 Odonovan Dr Ste 100
Baton Rouge, LA 70808-4791
Phone (225) 767-4893

Other identifiers 1

IdentifierTypeStateIssuer
2632124MedicaidLA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
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
I20230130000455 LA Practitioner - Nurse Practitioner 8729459748 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
86.91 of 100Reported as group
Quality
78.17
Promoting interoperability
100
Improvement activities
40
Cost
67.71

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Ochsner Clinic LLC CurrentSince Sep 20, 2024 Accepting new patients
Renal Associates of Baton Rouge, LLC CurrentSince Jul 22, 2024 Accepting new patients
Ochsner Clinic LLC CurrentSince Sep 20, 2024 Accepting new patients
Ochsner Clinic LLC Current Accepting new patients
Integrated Medical Services Cov LLC Nurse Practitioner CurrentSince May 2, 2025 Accepting new patients
Integrated Medical Services Ham, LLC Nurse Practitioner CurrentSince May 2, 2025 Accepting new patients
North Oaks Medical Center, LLC CurrentSince Oct 26, 2023 Accepting new patients
Curtis Health Services, LLC PastSince May 2, 2025 Accepting new patients
Nephrology Management LLC Past Accepting new patients

Locations

17000 Medical Center Dr
Baton Rouge, LA 70816
Phone (225) 752-2470

5131 Odonovan Dr
Fl 1
Baton Rouge, LA 70808
Phone (225) 767-4893

5131 Odonovan Dr
Fl First
Baton Rouge, LA 70808
Phone (225) 767-4893

5131 Odonovan Dr
Ste 100
Baton Rouge, LA 70808
Phone (225) 767-4893

7015 Highway 190 East Service Rd
Covington, LA 70433
Phone (985) 234-3000

7015 Highway 190 East Service Rd
Ste 201
Covington, LA 70433
Phone (985) 809-1997

15784 Medical Arts Dr
Ste A
Hammond, LA 70403
Phone (985) 230-7525

15790 Paul Vega Md Dr
Hammond, LA 70403
Phone (985) 230-1682

15813 Paul Vega Md Dr
Ste 200
Hammond, LA 70403
Phone (985) 230-7650

303 W Minnesota Park Rd
Ste C
Hammond, LA 70403
Phone (985) 350-6110

1514 Jefferson Hwy
New Orleans, LA 70121

104 Acadia Park Dr
Raceland, LA 70394
Phone (985) 537-3211

5000 Odonavan Blvd
#412
Walker, LA 70785
Phone (225) 767-4893

5000 Odonavan Blvd
Ste 412
Walker, LA 70785
Phone (225) 767-7200

1215 Independence Blvd
Ste 9A
Zachary, LA 70791

Interoperability endpoints

  • Direct secure messaging: carlos.mendoza.1@4030.direct.athenahealth.com
  • Direct secure messaging: cmendoza1151340@direct.ochsner.org

Organizations & group practices 9

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1673913600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723420800000",
    "number": "1972218766",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5131 ODONOVAN DR STE 100",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708084791",
            "telephone_number": "225-767-4893",
            "fax_number": "225-767-5494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5131 ODONOVAN DR STE 100",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708084791",
            "telephone_number": "225-767-4893",
            "fax_number": "225-767-5494"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENDOZA",
        "first_name": "CARLOS",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-01-17",
        "last_updated": "2024-08-12",
        "certification_date": "2024-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "201574",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2632124",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Baton Rouge, LA

Sources for this page

Verify at the official NPI Registry.