JENNIFER DENISE MENDOZA FNP
NPI 1154057750
Nurse Practitioner - Family in Santa Rosa, CA
About Jennifer Denise Mendoza Fnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JENNIFER DENISE MENDOZA FNP (NPI 1154057750) is an individual family provider in Santa Rosa, California, licensed in California (95021956) and active in the NPI registry since July 2022. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Jennifer Denise Mendoza Fnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Jennifer Mendoza reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Santa Rosa, CA 95407
- Reassigned Medicare billing, California enrollment
- 215 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 95407 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.
SANTA ROSA, CA 95407
SANTA ROSA, CA 95407
SANTA ROSA, CA 95407
SANTA ROSA, CA 95407
SANTA ROSA, CA 95407
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 Jennifer Mendoza's NPI number?
The NPI number for Jennifer Mendoza is 1154057750. It was assigned to this individual provider in the NPPES registry on July 26, 2022.
Where is Jennifer Mendoza located?
Jennifer Mendoza practices at 751 Lombardi Ct, Santa Rosa, CA 95407. The listed phone number is (707) 547-2222.
What is Jennifer Mendoza's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Jennifer Mendoza enrolled in Medicare?
Yes. Jennifer Mendoza is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Jennifer Mendoza's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jennifer Mendoza reassigns Medicare benefits to Santa Rosa Community Health Centers (Santa Rosa, 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 Jennifer Mendoza'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 Jennifer Mendoza was last updated on July 26, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Jennifer Denise Mendoza, FNP · NPI 1154057750
Family physician in Santa Rosa, California. Individual provider, active in the CMS NPPES registry since July 26, 2022.
## Identity
- **NPI:** 1154057750 (Entity type: Individual)
- **Enumerated:** July 26, 2022
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 95021956 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 751 LOMBARDI CT, Santa Rosa, CA 95407-6798
- **Phone:** (707) 547-2222
## 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:** Santa Rosa Community Health Centers (NPI 1386712065, Santa Rosa, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 26, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1154057750) · Data from the CMS NPPES public registry.