PETRA JEANNE MENDOZA
NPI 1124646872
Nurse Anesthetist, Certified Registered in Sacramento, CA

Q: What is Petra Mendoza's NPI number?

The NPI number for Petra Mendoza is 1124646872. It was assigned to this individual provider in the NPPES registry on July 9, 2020.

Q: What is Petra Mendoza's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

Q: When was this NPI record last updated?

The NPPES record for Petra Mendoza was last updated on November 7, 2022. 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.

Active since July 09, 2020Accepts Medicare Assignment

4150 V ST STE 1200, SACRAMENTO, CA 95817(916) 734-5028 Get Directions Write a Review

NPPES record last updated: November 7, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 7, 2022, Jul 9, 2020 (2 updates tracked since 2020).

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About Petra Jeanne Mendoza NPPES

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

PETRA JEANNE MENDOZA (NPI 1124646872) is an individual nurse anesthetist, certified registered in Sacramento, California, licensed in California (95001876) and active in the NPI registry since July 2020. She is a graduate of Other (2022).

NPPES Registry Identity

NPI1124646872

Entity TypeIndividualFemale

Primary Taxonomy367500000X

Provider Legal NamePETRA JEANNE MENDOZA

Location Address4150 V ST STE 1200Sacramento, CA 95817-1460

Mailing Address4150 V St Ste 1200Sacramento, CA 95817-1460 · (916) 734-5028

Phone(916) 734-5028

Sole ProprietorNo

Medical School CMSOtherGraduated 2022

Enumeration DateJuly 9, 2020

Last NPPES UpdateNovember 7, 20222 updates tracked since enumeration

NPPES CertifiedNovember 7, 2022

✔ NPI 1124646872 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code367500000X

License✔ Licensed in CA · 95001876

Definition

(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.

Also ListedRegistered NurseTaxonomy 163W00000X · License 844397 (CA)

Also ListedRegistered Nurse · Critical Care MedicineTaxonomy 163WC0200X · License 683820 (NY)

4150 V ST STE 1200, Sacramento, CA 95817

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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 and accepts Medicare assignment

Petra Jeanne Mendoza 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 ID143699769

PECOS Enrollment IDI20221202002578

Areas of Expertise CMS Part B claims

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.

Anesthesia for lens surgery 00142

Anesthesia for lens surgery involves administering medication to numb the eye area, ensuring you feel no pain during the procedure. This can be a local anesthetic (numbing only the eye area) or general (where you're asleep). It helps make the surgery comfortable and stress-free.

52 services51 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95817 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

$137.20 typical visit price

range $60.44 – $180.85

Typical copayment $34.30 (range $15.11 – $45.21)

Most-billed visit code 99204

Established Patient

$75.03 typical visit price

range $19.88 – $148.15

Typical copayment $18.75 (range $4.97 – $37.03)

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.

ALLEN WANG MD

Anesthesiology