JASMINE L MENDOZA
NPI 1154284057
Nurse Practitioner - Family in Freeport, IL

Active since December 08, 2025PECOS EnrolledAccepts Medicare Assignment
2946 S WALNUT RD, FREEPORT, IL 61032(815) 235-6173 Get Directions Write a Review

NPPES record last updated: February 3, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Feb 3, 2026, Jan 28, 2026, Dec 8, 2025 (3 updates tracked since 2025).

About Jasmine L Mendoza NPPES

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

JASMINE L MENDOZA (NPI 1154284057) is an individual family provider in Freeport, Illinois, licensed in Illinois (209034154) and active in the NPI registry since December 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1154284057
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameJASMINE L MENDOZA
Location Address2946 S WALNUT RDFreeport, IL 61032-9528
Mailing Address2946 S Walnut RdFreeport, IL 61032-9528
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateDecember 8, 2025
Last NPPES UpdateFebruary 3, 20263 updates tracked since enumeration
NPPES CertifiedFebruary 3, 2026
✔ NPI 1154284057 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in IL · 209034154
Also ListedGeneral PracticeTaxonomy 208D00000X · License 209.034154 (IL)
2946 S WALNUT RD, Freeport, IL 61032

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Jasmine L 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 ID9335629765
PECOS Enrollment IDI20260216002009
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Jasmine Mendoza reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Geriatric Medicine
490 W 16TH PL
Chicago Heights, IL 60411
  • Reassigned Medicare billing, Illinois enrollment
  • 173 clinicians in this Medicare group
Geriatric Medicine
6710 MALLERY DR
Lanham, MD 20706
  • Reassigned Medicare billing, Illinois enrollment
  • 176 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 61032 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
$85.71 typical visit price
range $54.80 – $168.44
Typical copayment $21.42 (range $13.70 – $42.11)
Most-billed visit code 99203
Established Patient
$97.25 typical visit price
range $17.16 – $136.56
Typical copayment $24.31 (range $4.29 – $34.14)
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 3

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

Skilled Nursing Facility
2946 S WALNUT RD
FREEPORT, IL 61032
Skilled Nursing Facility
2946 S WALNUT RD
FREEPORT, IL 61032
Occupational Therapy Assistant
2946 S WALNUT RD
FREEPORT, IL 61032

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 Jasmine Mendoza's NPI number?

The NPI number for Jasmine Mendoza is 1154284057. It was assigned to this individual provider in the NPPES registry on December 8, 2025.

Where is Jasmine Mendoza located?

Jasmine Mendoza practices at 2946 S Walnut Rd, Freeport, IL 61032. The listed phone number is (815) 235-6173.

What is Jasmine Mendoza's specialty?

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

Is Jasmine Mendoza enrolled in Medicare?

Yes. Jasmine Mendoza 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.

Which organizations bill Medicare for Jasmine Mendoza's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jasmine Mendoza reassigns Medicare benefits to 2 organizations: Altea Medical Illinois PLLC (Chicago Heights, IL) and Post Acute Medical PLLC (Lanham, MD). Each 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 Jasmine 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 Jasmine Mendoza was last updated on February 3, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.