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CANDACE MENDOZA NP
NPI 1336579796
Nurse Practitioner in Greenville, NC

Active since November 22, 2013PECOS EnrolledAccepts Medicare Assignment
98.15/100
CMS Quality Rating
2080 W ARLINGTON BLVD STE A, GREENVILLE, NC 27834(252) 689-6161 Get Directions Write a Review

NPPES record last updated: July 11, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Candace Mendoza Np NPPES

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

CANDACE MENDOZA NP (NPI 1336579796) is an individual nurse practitioner in Greenville, North Carolina, licensed in North Carolina (5008800) and active in the NPI registry since November 2013. She is enrolled in Medicare PECOS and is a graduate of Other (2011).

NPPES Registry Identity

NPI1336579796
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameCANDACE MENDOZACredential: NP
Location Address2080 W ARLINGTON BLVD STE AGreenville, NC 27834-3770
Mailing Address11350 Mccormick Road, Executive Plaza 1, Suite 501Hunt Valley, MD 21031-8732
Phone(252) 689-6161
Sole ProprietorNo
Medical School CMSOtherGraduated 2011
Enumeration DateNovember 22, 2013
Last NPPES UpdateJuly 11, 2023
NPPES CertifiedJuly 11, 2023
✔ NPI 1336579796 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
Licenses✔ Licensed in NC · 5008800✔ Licensed in KY · 3008356
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 5008800 (NC)
2080 W ARLINGTON BLVD STE A, Greenville, NC 27834
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Other Names 1

Former Name (1)Candace Engle Np

Other Identifiers 1

Medicaid7100271570KY

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee and more.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

Candace Mendoza Np 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 ID4587891544
PECOS Enrollment IDI20161003000567
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 4

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.
567 services136 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
232 services116 patients
Testing for presence of drug, by chemistry analyzers 80307
Chemistry analyzers are used to detect the presence of drugs in your system. This test involves taking a small sample of your blood or urine. The sample is then analyzed for specific substances. The results help in understanding your health condition better.
148 services105 patients
Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms G0483
A definitive drug test identifies specific drugs in your system. It uses advanced methods like gc/ms and lc/ms, which can distinguish between different types of drugs but not necessarily their 3D forms. This test offers detailed results to support your healthcare decisions.
136 services97 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27834 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
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$95.94 typical visit price
range $17.21 – $134.61
Typical copayment $23.98 (range $4.30 – $33.65)
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.

98.15/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality91.34
Promoting Interoperability100
Improvement Activities40
Cost74.99

Reported Quality Measures

Advance Care Plan
97%305 patients4/55-star benchmark: 100%
Controlling High Blood Pressure
58%84 patients3/55-star benchmark: 98%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
98%855 patients4/55-star benchmark: 100%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
86%655 patients4/55-star benchmark: 100%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
95%5,056 patients4/55-star benchmark: 100%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 99% · 672 patients
Patients screened: 99% · 672 patients
100%165 patients5/55-star benchmark: 100%
Preventive Care and Screening: Unhealthy Alcohol Use: Screening & Brief Counseling
Patients screened: 100% · 672 patients
100%672 patients
Provide Patients Electronic Access to Their Health Information
93%615 patients4/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

DR. RICHARD WEAVER DO
Anesthesiology
2080 W ARLINGTON BLVD STE A
GREENVILLE, NC 27834
Pitt County (252) 689-6161
LEWE INC
Community/Behavioral Health
2080 W ARLINGTON BLVD STE A
GREENVILLE, NC 27834
Pitt County (252) 439-2275
BEVERLY S SMALLWOOD FNP-C
Nurse Practitioner (Family)
2080 W ARLINGTON BLVD STE A
GREENVILLE, NC 27834
Pitt County (252) 681-8989
EXPRESS CARE & FAMILY PRACTICE CENTER, PA
Clinic/Center (Medical Specialty)
2080 W ARLINGTON BLVD STE A
GREENVILLE, NC 27834
Pitt County (252) 439-0065

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 Candace Mendoza's NPI number?

The NPI number for Candace Mendoza is 1336579796. It was assigned to this individual provider in the NPPES registry on November 22, 2013. The provider is also known as Candace Engle Np.

Where is Candace Mendoza located?

Candace Mendoza practices at 2080 W Arlington Blvd Ste A, Greenville, NC 27834. The listed phone number is (252) 689-6161.

What is Candace Mendoza's specialty?

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

Is Candace Mendoza enrolled in Medicare?

Yes. Candace 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.

What insurance does Candace Mendoza accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee, Blue Cross and Blue Shield of NC and UnitedHealthcare list Candace 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 Candace Mendoza was last updated on July 11, 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.