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THEODORE BULACAN MENDOZA III FNP-BC
NPI 1336645928
Nurse Practitioner - Family in Arlington, TX

Active since April 03, 2018PECOS Enrolled
6407 S COOPER ST STE 117, ARLINGTON, TX 76001(817) 472-7601 Get Directions Write a Review

NPPES record last updated: April 3, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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.

NPPES Registry Identity

NPI1336645928
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameTHEODORE BULACAN MENDOZA IIICredential: FNP-BC
Location Address6407 S COOPER ST STE 117Arlington, TX 76001-5813
Mailing Address7328 LagunaGrand Prairie, TX 75054-0139 · (972) 898-8933
Phone(817) 472-7601
Sole ProprietorYes
Enumeration DateApril 3, 2018
✔ NPI 1336645928 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in TX · AP136094
6407 S COOPER ST STE 117, Arlington, TX 76001
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections 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 (PECOS)

Theodore Bulacan Mendoza Iii Fnp-bc 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.

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.

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.
24 services19 patients
Injection of drug or substance under skin or into muscle 96372
This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.
18 services12 patients

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.

New Patient
$87.20 typical visit price
range $56.47 – $171.07
Typical copayment $21.80 (range $14.11 – $42.76)
Most-billed visit code 99203
Established Patient
$99.68 typical visit price
range $18.18 – $139.68
Typical copayment $24.92 (range $4.54 – $34.92)
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 7

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

FASEEHA RAZA PA-C
Physician Assistant
6407 S COOPER ST STE 117
ARLINGTON, TX 76001
Tarrant County (817) 472-7061
RANDI RENE REDDING APRN
Nurse Practitioner (Family)
6407 S COOPER ST STE 117
ARLINGTON, TX 76001
Tarrant County (817) 472-7601
COMMUNITY URGENT CARE, LLC
Family Medicine
6407 S COOPER ST STE 117
ARLINGTON, TX 76001
Tarrant County (817) 472-7601
EXPECARE LP
Family Medicine
6407 S COOPER ST STE 117
ARLINGTON, TX 76001
Tarrant County (817) 472-7601
COOPER STREET URGENT CARE LLC
Clinic/Center (Urgent Care)
6407 S COOPER ST STE 117
ARLINGTON, TX 76001
Tarrant County (469) 482-0861
UNITED PRIMARY CLINIC CARE LLC
Family Medicine
6407 S COOPER ST STE 117
ARLINGTON, TX 76001
Tarrant County (817) 472-7601
MR. UMAR SAEED MD
Family Medicine
6407 S COOPER ST STE 117
ARLINGTON, TX 76001
Tarrant County (817) 472-7601

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 enrollment system.

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 6 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.