MARY MENDOZA-ROMINE
NPI 1073080099
Nurse Practitioner - Gerontology in Nashville, TN

Active since October 29, 2018PECOS EnrolledAccepts Medicare Assignment
97.12/100
CMS Quality Rating
3601 THE VANDERBILT CLINIC, NASHVILLE, TN 37204(615) 322-3000 Get Directions Write a Review

NPPES record last updated: June 11, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 11, 2024, Nov 15, 2023, Oct 15, 2020 and 2 more (5 updates tracked since 2018).

About Mary Mendoza-romine NPPES

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

MARY MENDOZA-ROMINE (NPI 1073080099) is an individual gerontology provider in Nashville, Tennessee, licensed in Tennessee (APN25101) and active in the NPI registry since October 2018. She is enrolled in Medicare PECOS, is affiliated with Ascension Saint Thomas Hospital, and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1073080099
Entity TypeIndividualFemale
Primary Taxonomy363LG0600X
Provider Legal NameMARY MENDOZA-ROMINE
Location Address3601 THE VANDERBILT CLINICNashville, TN 37204
Mailing Address3841 Green Hills Village Dr Ste 200Nashville, TN 37215-2691 · (615) 936-2000
Sole ProprietorYes
Medical School CMSOtherGraduated 2018
Enumeration DateOctober 29, 2018
Last NPPES UpdateJune 11, 20245 updates tracked since enumeration
NPPES CertifiedJune 11, 2024
NPI 1073080099 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

Primary SpecialtyNurse Practitioner · GerontologyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LG0600X
License Licensed in TN · APN25101
Also ListedNurse PractitionerTaxonomy 363L00000X · License 25101 (TN)
Also ListedNurse Practitioner · Acute CareTaxonomy 363LA2100X · License APN25101 (TN)
Also ListedClinical Nurse Specialist · Adult HealthTaxonomy 364SA2200X · License APN25101 (TN)
3601 THE VANDERBILT CLINIC, Nashville, TN 37204

Secondary Practice Locations 3

Location 11211 Medical Center DrNashville, TN 37232-0004 · Phone (615) 322-5000
Location 23601 The Vanderbilt ClinicNashville, TN 37204 · Phone (615) 322-3000
Location 34230 Harding Pike Ste 435Nashville, TN 37205-4900 · Phone (615) 385-3704 · Fax (615) 292-1321

Accepted 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

Mary Mendoza-romine 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 ID5799023297
PECOS Enrollment IDI20190207002009
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.

Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
212 services125 patients
Critical care, each additional 30 minutes 99292
Critical care refers to special attention given to patients facing life-threatening conditions. Each additional 30 minutes indicates the extension of this specialized care. This might include close monitoring, medication adjustments, and immediate interventions as needed.
63 services46 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
16 services15 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Ascension Saint Thomas Hospital

Acute Care Hospitals · Nashville, TN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number440082
Location4220 Harding Rd, PO Box 380Nashville, TN 37205 · Davidson County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37204 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
$81.53 typical visit price
range $52.64 – $160.89
Typical copayment $20.38 (range $13.16 – $40.22)
Most-billed visit code 99203
Established Patient
$93.60 typical visit price
range $16.72 – $131.41
Typical copayment $23.40 (range $4.18 – $32.85)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

97.12/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality85.64
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 3

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

Nurse Practitioner (Gerontology)
3601 THE VANDERBILT CLINIC
NASHVILLE, TN 37204
Internal Medicine (Transplant Hepatology)
3601 THE VANDERBILT CLINIC, 30330
NASHVILLE, TN 37204
Nurse Anesthetist, Certified Registered
3601 THE VANDERBILT CLINIC
NASHVILLE, TN 37204

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 Mary Mendoza-romine's NPI number?

The NPI number for Mary Mendoza-romine is 1073080099. It was assigned to this individual provider in the NPPES registry on October 29, 2018.

Where is Mary Mendoza-romine located?

Mary Mendoza-romine practices at 3601 The Vanderbilt Clinic, Nashville, TN 37204. The listed phone number is (615) 322-3000.

What is Mary Mendoza-romine's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.

Is Mary Mendoza-romine enrolled in Medicare?

Yes. Mary Mendoza-romine 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 Mary Mendoza-romine accept?

Health plans from Alliant Health Plans, Inc., Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Magnolia Health and Ambetter of Alabama and 4 other insurers list Mary Mendoza-romine 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.

Is Mary Mendoza-romine affiliated with any hospitals?

According to CMS data, Mary Mendoza-romine is affiliated with Ascension Saint Thomas Hospital.

When was this NPI record last updated?

The NPPES record for Mary Mendoza-romine was last updated on June 11, 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.