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ELLEN MENDOZA CHURCH
NPI 1275046591
Physician Assistant in San Jose, CA

Active since November 08, 2017PECOS EnrolledAccepts Medicare Assignment
130 E SAN FERNANDO ST APT 410, SAN JOSE, CA 95112(408) 775-1411 Get Directions Write a Review

NPPES record last updated: February 2, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Ellen Mendoza Church NPPES

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

ELLEN MENDOZA CHURCH (NPI 1275046591) is an individual physician assistant in San Jose, California and active in the NPI registry since November 2017. She is enrolled in Medicare PECOS and is a graduate of Other (2017).

NPPES Registry Identity

NPI1275046591
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameELLEN MENDOZA CHURCH
Location Address130 E SAN FERNANDO ST APT 410San Jose, CA 95112-7416
Mailing Address130 E San Fernando St Apt 420San Jose, CA 95112-7420
Phone(408) 775-1411
Sole ProprietorYes
Medical School CMSOtherGraduated 2017
Enumeration DateNovember 8, 2017
Last NPPES UpdateFebruary 2, 2018
✔ NPI 1275046591 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
130 E SAN FERNANDO ST APT 410, San Jose, CA 95112
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, UnitedHealthcare.Insurance ›

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

Ellen Mendoza Church 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 ID3870858905
PECOS Enrollment IDI20220105001728
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.

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.
29 services16 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95112 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
$106.47 typical visit price
range $70.37 – $206.04
Typical copayment $26.61 (range $17.59 – $51.51)
Most-billed visit code 99203
Established Patient
$86.56 typical visit price
range $23.96 – $169.60
Typical copayment $21.64 (range $5.99 – $42.40)
Most-billed visit code 99213
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 Ellen Church's NPI number?

The NPI number for Ellen Church is 1275046591. It was assigned to this individual provider in the NPPES registry on November 8, 2017.

Where is Ellen Church located?

Ellen Church practices at 130 E San Fernando St Apt 410, San Jose, CA 95112. The listed phone number is (408) 775-1411.

What is Ellen Church's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Ellen Church enrolled in Medicare?

Yes. Ellen Church 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.

What insurance does Ellen Church accept?

Health plans from Blue Cross and Blue Shield of Texas and UnitedHealthcare list Ellen Church 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 Ellen Church was last updated on February 2, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.