Individual provider Active NPI

Christopher Mendiola

  • Certified Registered Nurse Anesthetist
  • Terre Haute, IN
National Provider Identifier
1992399745
Registry record updated Sep 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
28264598A Issued in IN
Practice address
1606 N 7TH St
Terre Haute, IN 47804-2780
Phone
(812) 238-7000
NPI assigned
Feb 23, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 100248 GU
Certified Registered Nurse Anesthetist 367500000X 28264598A IN Primary

Addresses

Primary practice location

1606 N 7TH St
Terre Haute, IN 47804-2780

Mailing address

8624 Venezia Dr Apt 2437
Orlando, FL 32810-2487
Phone (407) 670-4180

Other names 1

  • Christopher Joseph Torres Mendiola Other name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address CME7BE@flhosp.net Direct Adventist Health System-Sunbelt Inc AdventHealth Orlando

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN, IL, GU3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20210412000623 IN Practitioner - Certified Registered Nurse Anesthetist (Crna) 2163830142 Reassigns benefits to 3 organizations
I20230824003640 IL Practitioner - Certified Registered Nurse Anesthetist (Crna) 2163830142 Reassigns benefits to 1 organization
I20241002003252 GU Practitioner - Certified Registered Nurse Anesthetist (Crna) 2163830142 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Guam X-RayGroup PAC ID 8123180742, 33 clinicians

Practice addresses (Care Compare)

633 Gov Carlos Camacho Rd
Suite 210
Tamuning, GU 96913
Phone (671) 649-1001

Merit-based Incentive Payment System (MIPS)

Final score
79.22 of 100Reported as group
Quality
78.84
Improvement activities
40
Cost
61.61

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
100248GUMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Guam X-Ray CurrentSince Nov 19, 2024 Accepting new patients
Guam Healthcare Development Incorporated CurrentSince Oct 28, 2024 Accepting new patients
Clinical Colleagues Inc Nurse Anesthetist, Certified Registered CurrentSince Jun 6, 2023 Accepting new patients
Jebs Anesthesia Consultants, LLC CurrentSince Mar 15, 2023 Accepting new patients
Clinical Colleagues Inc Nurse Anesthetist, Certified Registered CurrentSince May 19, 2023 Accepting new patients
Iceland Anesthesia Management, LLC Nurse Anesthetist, Certified Registered CurrentSince Sep 1, 2021 Accepting new patients
St Luke'S Methodist Hospital Current Accepting new patients

Locations

133 Route 3
Dededo, GU 96929
Phone (671) 645-5500

633 Gov Carlos G Camacho Rd
Ste 210
Tamuning, GU 96913
Phone (671) 649-1001

695 N Kellogg St
Galesburg, IL 61401
Phone (309) 343-8131

500 John Deere Rd
Moline, IL 61265
Phone (309) 779-2840

2701 17th St
Rock Island, IL 61201
Phone (309) 779-3200

801 S Main St
Clinton, IN 47842
Phone (765) 832-1212

1260 E State Road 205
Columbia City, IN 46725
Phone (260) 248-9000

7747 W Jefferson Blvd
Fort Wayne, IN 46804
Phone (260) 434-9104

441 N Wabash Ave
Marion, IN 46952
Phone (219) 482-4577

3212 Hickory Rd
Ste A
Mishawaka, IN 46545
Phone (574) 251-0498

211 N Eddy St
South Bend, IN 46617
Phone (574) 237-9331

1606 N 7th St
Terre Haute, IN 47804
Phone (812) 238-7523

1421 N 7th St
Terre Haute, IN 47807
Phone (812) 231-4604

1 Stiles Rd
Ste 301
Salem, NH 03079

Interoperability endpoints

  • Direct secure messaging: christopher.mendiola.1@11356.direct.athenahealth.com
  • Direct secure messaging: cmendiola972792@direct.unitypoint.org
  • Direct secure messaging: cme7be@flhosp.net

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1614038400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726099200000",
    "number": "1992399745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8624 VENEZIA DR APT 2437",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328102487",
            "telephone_number": "407-670-4180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1606 N 7TH ST",
            "city": "TERRE HAUTE",
            "state": "IN",
            "postal_code": "478042780",
            "telephone_number": "812-238-7000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENDIOLA",
        "first_name": "CHRISTOPHER",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-02-23",
        "last_updated": "2024-09-12",
        "certification_date": "2024-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "GU",
            "license": "100248",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "IN",
            "license": "28264598A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "CME7BE@flhosp.net",
            "affiliation": "Y",
            "endpointDescription": "work email",
            "affiliationName": "Adventist Health System-Sunbelt Inc AdventHealth Orlando",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "work email",
            "address_1": "2005 Mizell Avenue",
            "address_2": "Suite 900",
            "city": "Winter Park",
            "state": "FL",
            "country_code": "US",
            "postal_code": "32792",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "CHRISTOPHER",
            "last_name": "MENDIOLA",
            "middle_name": "JOSEPH TORRES",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Terre Haute, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.