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PATRICIO MENDOZA FNP-C
NPI 1184375370
Nurse Practitioner in Herriman, UT

Active since January 10, 2022PECOS Enrolled
6489 W RIVULET RD, HERRIMAN, UT 84096(801) 699-5629 Get Directions Write a Review

NPPES record last updated: June 22, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Patricio Mendoza Fnp-c NPPES

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

PATRICIO MENDOZA FNP-C (NPI 1184375370) is an individual nurse practitioner in Herriman, Utah, licensed in Utah (6098830-8900) and active in the NPI registry since January 2022. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1184375370
Entity TypeIndividualMale
Primary Taxonomy363L00000X
Provider Legal NamePATRICIO MENDOZACredential: FNP-C
Location Address6489 W RIVULET RDHerriman, UT 84096-1421
Mailing Address6489 W Rivulet RdHerriman, UT 84096-1421 · (801) 699-5629
Phone(801) 699-5629
Sole ProprietorNo
Enumeration DateJanuary 10, 2022
Last NPPES UpdateJune 22, 2022
NPPES CertifiedJune 22, 2022
✔ NPI 1184375370 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in UT · 6098830-8900
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License 6098830-4405 (UT)
6489 W RIVULET RD, Herriman, UT 84096
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Imperial Health Plan of the Southwest, Inc..Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Patricio Mendoza Fnp-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Reassignment

Medicare enrollment records show Patricio Mendoza reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Physician Group Of Utah Inc
7.8 mi
Specialist
406 W SOUTH JORDAN PKWY, SUITE 500
South Jordan, UT 84095
  • Reassigned Medicare billing, Utah enrollment
  • 254 clinicians in this Medicare group
NPI 1477676930 (801) 984-3418

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 84096 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
$84.41 typical visit price
range $54.34 – $166.03
Typical copayment $21.10 (range $13.58 – $41.50)
Most-billed visit code 99203
Established Patient
$96.35 typical visit price
range $17.23 – $135.20
Typical copayment $24.08 (range $4.30 – $33.80)
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.

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 Patricio Mendoza's NPI number?

The NPI number for Patricio Mendoza is 1184375370. It was assigned to this individual provider in the NPPES registry on January 10, 2022.

Where is Patricio Mendoza located?

Patricio Mendoza practices at 6489 W Rivulet Rd, Herriman, UT 84096. The listed phone number is (801) 699-5629.

What is Patricio Mendoza's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Patricio Mendoza enrolled in Medicare?

Yes. Patricio Mendoza is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Patricio Mendoza's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Patricio Mendoza reassigns Medicare benefits to Physician Group Of Utah Inc (South Jordan, UT). 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 Patricio Mendoza's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Patricio Mendoza accept?

Health plans from Imperial Health Plan of the Southwest, Inc. list Patricio Mendoza as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Patricio Mendoza was last updated on June 22, 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.