GABRIEL MENDOZA MARQUEZ AGACNP
NPI 1265149108
Nurse Practitioner - Gerontology in Madison, TN

Q: What is Gabriel Mendoza Marquez's NPI number?

The NPI number for Gabriel Mendoza Marquez is 1265149108. It was assigned to this individual provider in the NPPES registry on October 31, 2022.

Q: What is Gabriel Mendoza Marquez's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.

Active since October 31, 2022PECOS Enrolled

315 HOSPITAL DR, MADISON, TN 37115(617) 732-7662 Get Directions Write a Review

NPPES record last updated: December 24, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Dec 24, 2024, Nov 8, 2023, Nov 21, 2022 and 1 more (4 updates tracked since 2022).

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About Gabriel Mendoza Marquez Agacnp NPPES

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

GABRIEL MENDOZA MARQUEZ AGACNP (NPI 1265149108) is an individual gerontology provider in Madison, Tennessee, licensed in Texas (1097780) and active in the NPI registry since October 2022. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1265149108

Entity TypeIndividualMale

Primary Taxonomy363LG0600X

Provider Legal NameGABRIEL MENDOZA MARQUEZCredential: AGACNP

Location Address315 HOSPITAL DRMadison, TN 37115-5030

Mailing Address315 Hospital DrMadison, TN 37115-5030 · (617) 732-7662

Phone(617) 732-7662

Sole ProprietorNo

Enumeration DateOctober 31, 2022

Last NPPES UpdateDecember 24, 20244 updates tracked since enumeration

NPPES CertifiedDecember 24, 2024

✔ NPI 1265149108 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · GerontologyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LG0600X

License✔ Licensed in TX · 1097780

Also ListedNurse Practitioner · Acute CareTaxonomy 363LA2100X · License 1097780 (TX)

315 HOSPITAL DR, Madison, TN 37115

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Gabriel Mendoza Marquez Agacnp 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 Gabriel Mendoza Marquez reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Texas Tech University Health Sciences Center

1,168 mi

Family Medicine

313 S RIO VISTA RD
El Paso, TX 79927

Reassigned Medicare billing, Texas enrollment
Medicare enrollment name: Texas Tech University Health Sciences Center El Paso
856 clinicians in this Medicare group

NPI 1588622500 (915) 859-0817

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

13 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37115 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

$81.53 typical visit price

range $52.64 – $160.89

Typical copayment $20.38 (range $13.16 – $40.22)

Most-billed visit code 99203

Established Patient

$93.60 typical visit price

range $16.72 – $131.41

Typical copayment $23.40 (range $4.18 – $32.85)

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 20

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

CARSON STAFFORD

Nurse Anesthetist, Certified Registered