THEODORE BULACAN MENDOZA III FNP-BC
NPI 1336645928
Nurse Practitioner - Family in Arlington, TX
About Theodore Bulacan Mendoza Iii Fnp-bc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
THEODORE BULACAN MENDOZA III FNP-BC (NPI 1336645928) is an individual family provider in Arlington, Texas, licensed in Texas (AP136094) and active in the NPI registry since April 2018. He is enrolled in Medicare PECOS and is a graduate of Other (2017).
NPPES Registry Identity
Specialties & Licenses
Accepted 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
Theodore Bulacan Mendoza Iii Fnp-bc 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.
Medicare Billing Reassignments
3Medicare enrollment records show Theodore Mendoza reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Arlington, TX 76001
- Reassigned Medicare billing, Texas enrollment
- 6 clinicians in this Medicare group
Arlington, TX 76001
- Reassigned Medicare billing, Texas enrollment
- 8 clinicians in this Medicare group
Austin, TX 78705
- Reassigned Medicare billing, Texas enrollment
- 1,511 clinicians in this Medicare group
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 2
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 76001 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 7
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
ARLINGTON, TX 76001
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 Theodore Mendoza's NPI number?
The NPI number for Theodore Mendoza is 1336645928. It was assigned to this individual provider in the NPPES registry on April 3, 2018.
Where is Theodore Mendoza located?
Theodore Mendoza practices at 6407 S Cooper St Ste 117, Arlington, TX 76001. The listed phone number is (817) 472-7601.
What is Theodore Mendoza's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Theodore Mendoza enrolled in Medicare?
Yes. Theodore 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 Theodore Mendoza's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Theodore Mendoza reassigns Medicare benefits to 3 organizations: United Primary Clinic Care LLC (Arlington, TX), Walk-In & Urgent Care PA (Arlington, TX) and Travis County Emergency Physicians PA (Austin, TX). 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 Theodore Mendoza's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Theodore Mendoza accept?
Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and Ambetter from Superior HealthPlan and 8 other insurers list Theodore 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 Theodore Mendoza was last updated on April 3, 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.
# Theodore Bulacan Mendoza III, FNP-BC · NPI 1336645928
Family physician in Arlington, Texas. Individual provider, active in the CMS NPPES registry since April 3, 2018.
## Identity
- **NPI:** 1336645928 (Entity type: Individual)
- **Enumerated:** April 3, 2018
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** AP136094 (Texas)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 6407 S COOPER ST STE 117, Arlington, TX 76001-5813
- **Phone:** (817) 472-7601
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): United Primary Clinic Care LLC (NPI 1881419620, Arlington, TX); Walk-In & Urgent Care PA (NPI 1912277260, Arlington, TX); Travis County Emergency Physicians PA (NPI 1962440933, Austin, TX) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2017
## Record status
- **NPPES last updated:** April 3, 2018
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Source: [NPI Profile](https://npiprofile.com/npi/1336645928) · Data from the CMS NPPES public registry.