JESSICA ALOHILANI MENDOZA AGNP-C
NPI 1346051596
Nurse Practitioner in Odessa, TX

Active since January 16, 2025PECOS EnrolledAccepts Medicare Assignment
500 W 4TH ST, ODESSA, TX 79761(432) 640-2401(432) 640-4778 Get Directions Write a Review

NPPES record last updated: May 8, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: May 8, 2025, Feb 11, 2025 (2 updates tracked since 2025).

About Jessica Alohilani Mendoza Agnp-c NPPES

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

JESSICA ALOHILANI MENDOZA AGNP-C (NPI 1346051596) is an individual nurse practitioner in Odessa, Texas, licensed in Texas (1188823) and active in the NPI registry since January 2025. She is enrolled in Medicare PECOS, is affiliated with Medical Center Hospital, and maintains a secondary practice location in Odessa.

NPPES Registry Identity

NPI1346051596
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameJESSICA ALOHILANI MENDOZACredential: AGNP-C
Location Address500 W 4TH STOdessa, TX 79761-5001
Mailing AddressPo Box 2129Odessa, TX 79760-2129 · (432) 640-2408
Fax(432) 640-4778
Sole ProprietorYes
Medical School CMSOtherGraduated 2024
Enumeration DateJanuary 16, 2025
Last NPPES UpdateMay 8, 20252 updates tracked since enumeration
NPPES CertifiedMay 8, 2025
NPI 1346051596 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License Licensed in TX · 1188823
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.

500 W 4TH ST, Odessa, TX 79761

Secondary Practice Location 1

Location 13415 Brentwood DrOdessa, TX 79762-6906 · Phone (432) 385-4076

Accepted 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

Jessica Alohilani Mendoza Agnp-c 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 ID6204356298
PECOS Enrollment IDI20250220002545
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.

Hospital Affiliations CMS Care Compare

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

Medical Center Hospital

Acute Care Hospitals · Odessa, TX
3/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number450132
Location500 W 4th StreetOdessa, TX 79761 · Ector County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 79761 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
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
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 20

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

Family Medicine
500 W 4TH ST
ODESSA, TX 79761
Emergency Medicine
500 W 4TH ST
ODESSA, TX 79761
Emergency Medicine
500 W 4TH ST
ODESSA, TX 79761
Physician Assistant
500 W 4TH ST
ODESSA, TX 79761
Nurse Practitioner
500 W 4TH ST
ODESSA, TX 79761
Physician Assistant
500 W 4TH ST
ODESSA, TX 79761
Physician Assistant
500 W 4TH ST
ODESSA, TX 79761
Radiology (Diagnostic Radiology)
500 W 4TH ST
ODESSA, TX 79761

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1346051596, enumerated as an "individual" on January 16, 2025.

The provider is located at 500 W 4TH ST ODESSA, TX 79761 and the phone number is (432) 640-2401.

Nurse Practitioner with taxonomy code 363L00000X.

The provider might be accepting Accepts: Blue Cross and Blue Shield of Texas. Please consult your insurance carrier or call the provider to verify.

Jessica Mendoza is affiliated with: MEDICAL CENTER HOSPITAL.