KIMBERLY CASIANO MENDENHALL PNP
NPI 1114646759
Nurse Practitioner - Pediatrics in Los Angeles, CA
About Kimberly Casiano Mendenhall Pnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KIMBERLY CASIANO MENDENHALL PNP (NPI 1114646759) is an individual pediatrics provider in Los Angeles, California, licensed in California (95022072) and active in the NPI registry since August 2022. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Kimberly Casiano Mendenhall Pnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Kimberly Mendenhall reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Los Angeles, CA 90095
- Reassigned Medicare billing, California enrollment
- 323 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 90095 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
LOS ANGELES, CA 90095
LOS ANGELES, CA 90095
LOS ANGELES, CA 90095
LOS ANGELES, CA 90095
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 Kimberly Mendenhall's NPI number?
The NPI number for Kimberly Mendenhall is 1114646759. It was assigned to this individual provider in the NPPES registry on August 25, 2022.
Where is Kimberly Mendenhall located?
Kimberly Mendenhall practices at 757 Westwood Plz, Los Angeles, CA 90095. The listed phone number is (310) 267-7540.
What is Kimberly Mendenhall's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.
Is Kimberly Mendenhall enrolled in Medicare?
Yes. Kimberly Mendenhall is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Kimberly Mendenhall's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kimberly Mendenhall reassigns Medicare benefits to Uc Regents (Los Angeles, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kimberly Mendenhall's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Kimberly Mendenhall was last updated on February 21, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Kimberly Casiano Mendenhall, PNP · NPI 1114646759
Pediatrics physician in Los Angeles, California. Individual provider, active in the CMS NPPES registry since August 25, 2022.
## Identity
- **NPI:** 1114646759 (Entity type: Individual)
- **Enumerated:** August 25, 2022
- **Primary specialty:** Nurse Practitioner - Pediatrics · taxonomy 363LP0200X
- **State license:** 95022072 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 757 WESTWOOD PLZ, Los Angeles, CA 90095-8358
- **Phone:** (310) 267-7540
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Uc Regents (NPI 1982667663, Los Angeles, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** February 21, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1114646759) · Data from the CMS NPPES public registry.