DANA MENDOZA
NPI 1023909736
Nurse Practitioner - Family in Montgomery, TX

Q: What is Dana Mendoza's NPI number?

The NPI number for Dana Mendoza is 1023909736. It was assigned to this individual provider in the NPPES registry on July 10, 2025.

Q: What is Dana Mendoza's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Dana Mendoza was last updated on July 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months 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.

Active since July 10, 2025PECOS Enrolled

123 BLUE HERON DR STE 101, MONTGOMERY, TX 77316(936) 290-0761 Get Directions Write a Review

NPPES record last updated: July 10, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Dana Mendoza NPPES

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

DANA MENDOZA (NPI 1023909736) is an individual family provider in Montgomery, Texas, licensed in Texas (1015398) and active in the NPI registry since July 2025. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1023909736

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameDANA MENDOZA

Location Address123 BLUE HERON DR STE 101Montgomery, TX 77316-3192

Mailing Address15436 Crown Oaks DrMontgomery, TX 77316-9623 · (619) 212-0629

Phone(936) 290-0761

Sole ProprietorNo

Enumeration DateJuly 10, 2025

NPPES CertifiedJuly 10, 2025

✔ NPI 1023909736 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in TX · 1015398

123 BLUE HERON DR STE 101, Montgomery, TX 77316

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dana Mendoza is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77316 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

$84.92 typical visit price

range $54.84 – $166.88

Typical copayment $21.23 (range $13.71 – $41.72)

Most-billed visit code 99203

Established Patient

$97.05 typical visit price

range $17.52 – $136.11

Typical copayment $24.26 (range $4.38 – $34.02)

Most-billed visit code 99214

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 6

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

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