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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: July 26, 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
Phone(815) 235-6173
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
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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

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.

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.

STEPHENSON NURSING CENTER
Skilled Nursing Facility
2946 S WALNUT RD
FREEPORT, IL 61032
Stephenson County (815) 235-6173
FREEPORT NURSING LLC
Skilled Nursing Facility
2946 S WALNUT RD
FREEPORT, IL 61032
Stephenson County (815) 235-6173
CHRISTA WYMAN-HUNDRIESER
Occupational Therapy Assistant
2946 S WALNUT RD
FREEPORT, IL 61032
Stephenson County (815) 235-6173

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.

When was this NPI record last updated?

The NPPES record for Jasmine Mendoza was last updated on February 3, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.