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MAUREEN MENDOZA MSN, APN
NPI 1316195126
Nurse Practitioner - Adult Health in Egg Harbor Township, NJ

Active since September 04, 2008PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
2626 TILTON RD, EGG HARBOR TOWNSHIP, NJ 08234(609) 568-5000(609) 568-5015 Get Directions Write a Review

NPPES record last updated: May 3, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Maureen Mendoza Msn, Apn NPPES

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

MAUREEN MENDOZA MSN, APN (NPI 1316195126) is an individual adult health provider in Egg Harbor Township, New Jersey, licensed in New Jersey (NJ001696) and active in the NPI registry since September 2008. She is enrolled in Medicare PECOS, is affiliated with West Jersey Hospital, and maintains 5 additional practice locations.

NPPES Registry Identity

NPI1316195126
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameMAUREEN MENDOZACredential: MSN, APN
Location Address2626 TILTON RDEgg Harbor Township, NJ 08234-1829
Mailing Address117 Justine LnGalloway, NJ 08205-4475 · (609) 748-0479
Phone(609) 568-5000
Fax(609) 568-5015
Sole ProprietorNo
Medical School CMSOtherGraduated 2008
Enumeration DateSeptember 4, 2008
Last NPPES UpdateMay 3, 2023
NPPES CertifiedMay 3, 2023
✔ NPI 1316195126 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License✔ Licensed in NJ · NJ001696
2626 TILTON RD, Egg Harbor Township, NJ 08234
Open in Google Maps ↗

Secondary Practice Locations 5

Location 1175 Madison AveMount Holly, NJ 08060-2038 · Phone (609) 914-6180
Location 2218 Sunset Rd Fl 5Willingboro, NJ 08046-1110 · Phone (609) 444-0599
Location 31600 Haddon Ave Fl 6Camden, NJ 08103-3101 · Phone (856) 757-3500
Location 4100 Bowman Dr Lowr Level1Voorhees, NJ 08043-9612 · Phone (856) 247-3000
Location 590 Brick Rd Fl 3Marlton, NJ 08053-2177 · Phone (856) 355-6000

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware, Oscar Health.Insurance ›

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

Maureen Mendoza Msn, Apn 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 ID547306342
PECOS Enrollment IDI20091008000364
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 Maureen Mendoza reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Island Medical Associates,pa
Same address
Addiction Medicine
2626 TILTON RD
Egg Harbor Twp, NJ 08234
  • Reassigned Medicare billing, New Jersey enrollment
  • 3 clinicians in this Medicare group
NPI 1740292119 (609) 568-5000
Virtua Medical Group, PA
20 mi
Urgent Care
75 S WHITE HORSE PIKE
Hammonton, NJ 08037
  • Reassigned Medicare billing, New Jersey enrollment
  • 2,074 clinicians in this Medicare group
NPI 1396342507 (856) 325-3200

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 3

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.

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
33 services32 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
18 services18 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
15 services12 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

West Jersey Hospital

Acute Care Hospitals · Voorhees, NJ
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310022
Location100 Bowman DriveVoorhees, NJ 08043 · Camden County
Emergency services Birthing friendly

Virtua Mount Holly Hospital

Acute Care Hospitals · Mount Holly, NJ
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310057
Location175 Madison AveMount Holly, NJ 08060 · Burlington County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 08234 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
$94.90 typical visit price
range $61.59 – $185.05
Typical copayment $23.72 (range $15.39 – $46.26)
Most-billed visit code 99203
Established Patient
$107.94 typical visit price
range $20.08 – $150.98
Typical copayment $26.98 (range $5.02 – $37.74)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
6 suppliers14 claims43 services$5.84 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 4

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

BMB CONSULTANTS P.C.
Clinic/Center (Adult Mental Health)
2626 TILTON RD
EGG HARBOR TOWNSHIP, NJ 08234
Atlantic County (866) 277-5223
DR. PETER O KUPONIYI MD
Internal Medicine (Addiction Medicine)
2626 TILTON RD
EGG HARBOR TOWNSHIP, NJ 08234
Atlantic County (609) 568-5000
MOJISOLA DABNEY APN
Nurse Practitioner (Psychiatric/Mental Health)
2626 TILTON RD
EGG HARBOR TOWNSHIP, NJ 08234
Atlantic County (609) 568-5000
ISLAND MEDICAL ASSOCIATES,PA
Internal Medicine (Addiction Medicine)
2626 TILTON RD
EGG HARBOR TWP, NJ 08234
Atlantic County (609) 568-5000

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 Maureen Mendoza's NPI number?

The NPI number for Maureen Mendoza is 1316195126. It was assigned to this individual provider in the NPPES registry on September 4, 2008.

Where is Maureen Mendoza located?

Maureen Mendoza practices at 2626 Tilton Rd, Egg Harbor Township, NJ 08234. The listed phone number is (609) 568-5000.

What is Maureen Mendoza's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is Maureen Mendoza enrolled in Medicare?

Yes. Maureen 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 Maureen Mendoza's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Maureen Mendoza reassigns Medicare benefits to 2 organizations: Island Medical Associates,pa (Egg Harbor Twp, NJ) and Virtua Medical Group, PA (Hammonton, NJ). 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 Maureen Mendoza's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Maureen Mendoza accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Oscar Health list Maureen 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.

Is Maureen Mendoza affiliated with any hospitals?

According to CMS data, Maureen Mendoza is affiliated with West Jersey Hospital and Virtua Mount Holly Hospital.

When was this NPI record last updated?

The NPPES record for Maureen Mendoza was last updated on May 3, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.