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AMANDA MENDOZA PA
NPI 1013620707
Physician Assistant in Grand Rapids, MI

Active since December 28, 2022PECOS EnrolledAccepts Medicare Assignment
100 MICHIGAN ST NE, GRAND RAPIDS, MI 49503(616) 391-8640 Get Directions Write a Review

NPPES record last updated: August 12, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 12, 2024, Jun 11, 2024, Dec 28, 2022 (3 updates tracked since 2022).

About Amanda Mendoza Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

AMANDA MENDOZA PA (NPI 1013620707) is an individual physician assistant in Grand Rapids, Michigan, licensed in Michigan (5601011572) and active in the NPI registry since December 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1013620707
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameAMANDA MENDOZACredential: PA
Location Address100 MICHIGAN ST NEGrand Rapids, MI 49503-2560
Mailing Address100 Michigan St Ne # Mc845Grand Rapids, MI 49503-2560
Phone(616) 391-8640
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateDecember 28, 2022
Last NPPES UpdateAugust 12, 20243 updates tracked since enumeration
NPPES CertifiedAugust 12, 2024
✔ NPI 1013620707 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in MI · 5601011572
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
100 MICHIGAN ST NE, Grand Rapids, MI 49503
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Priority Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Amanda Mendoza Pa is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2062883960
PECOS Enrollment IDI20230131001779
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
38 services34 patients
Continuous monitoring of blood sugar level in tissue fluid using sensor under skin with interpretation and report 95251
This procedure involves placing a small sensor under your skin to continuously monitor your blood sugar levels in tissue fluid. The data is interpreted and a report is generated to help manage your diabetes more effectively.
22 services21 patients
Dilation of stomach and/or small bowel using long gastrointestinal tube 44500
This procedure involves the use of a long tube, inserted through the mouth or nose, to gently widen the stomach or small bowel. This can help alleviate blockages or narrow areas, improving digestion and nutrient absorption.
12 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49503 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$84.74 typical visit price
range $54.34 – $166.68
Typical copayment $21.18 (range $13.58 – $41.67)
Most-billed visit code 99203
Established Patient
$68.07 typical visit price
range $17.09 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MAUREEN TAN PEDRES M.D.
Internal Medicine
100 MICHIGAN ST NE, SUITE A721
GRAND RAPIDS, MI 49503
Kent County (616) 391-3139
MATTHEW H ARMSTRONG MD
Anesthesiology
100 MICHIGAN ST NE
GRAND RAPIDS, MI 49503
Kent County (616) 391-1510
ALINE DE QUADROS TEIXEIRA MD
Internal Medicine
100 MICHIGAN ST NE
GRAND RAPIDS, MI 49503
Kent County (616) 391-3139
DR. LINDSEY DANIELLE CONRADO PT, DPT
Physical Therapist
100 MICHIGAN ST NE
GRAND RAPIDS, MI 49503
Kent County (161) 639-1177
DANIEL H. ROBINSON D.O.
Anesthesiology
100 MICHIGAN ST NE
GRAND RAPIDS, MI 49503
Kent County (616) 391-1510
MARK GREENWOOD DO
Emergency Medicine
100 MICHIGAN ST NE, MC 71
GRAND RAPIDS, MI 49503
Kent County (616) 391-5310
RAYMOND SCUREK MD
Emergency Medicine
100 MICHIGAN ST NE
GRAND RAPIDS, MI 49503
Kent County (616) 391-1680
MRS. RACHEL LEIGH VANSTRIEN PA-C
Physician Assistant
100 MICHIGAN ST NE, SUITE 8861
GRAND RAPIDS, MI 49503
Kent County (616) 391-0800

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Amanda Mendoza's NPI number?

The NPI number for Amanda Mendoza is 1013620707. It was assigned to this individual provider in the NPPES registry on December 28, 2022.

Where is Amanda Mendoza located?

Amanda Mendoza practices at 100 Michigan St NE, Grand Rapids, MI 49503. The listed phone number is (616) 391-8640.

What is Amanda Mendoza's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Amanda Mendoza enrolled in Medicare?

Yes. Amanda Mendoza is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Amanda Mendoza accept?

Health plans from Priority Health list Amanda Mendoza as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Amanda Mendoza was last updated on August 12, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.