TARA AUTUMN MENDOZA FNP
NPI 1366742488
Nurse Practitioner - Family in Bloomington, IN
About Tara Autumn Mendoza Fnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
TARA AUTUMN MENDOZA FNP (NPI 1366742488) is an individual family provider in Bloomington, Indiana, licensed in Indiana (71003400A) and active in the NPI registry since October 2010. She is enrolled in Medicare PECOS and is a graduate of Other (2010).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
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
Tara Autumn Mendoza Fnp 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
5Medicare enrollment records show Tara Mendoza reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Bedford, IN 47421
- Reassigned Medicare billing, Indiana enrollment
- 156 clinicians in this Medicare group
Indianapolis, IN 46202
- Reassigned Medicare billing, Indiana enrollment
- 45 clinicians in this Medicare group
Hanover, IN 47243
- Reassigned Medicare billing, Indiana enrollment
- 220 clinicians in this Medicare group
Alexandria, IN 46001
- Reassigned Medicare billing, Indiana enrollment
- 113 clinicians in this Medicare group
Mishawaka, IN 46545
- Reassigned Medicare billing, Indiana enrollment
- 166 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 47403 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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 Tara Mendoza's NPI number?
The NPI number for Tara Mendoza is 1366742488. It was assigned to this individual provider in the NPPES registry on October 22, 2010.
Where is Tara Mendoza located?
Tara Mendoza practices at 4849 S Woodbine Dr, Bloomington, IN 47403. The listed phone number is (812) 393-3230.
What is Tara Mendoza's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Tara Mendoza enrolled in Medicare?
Yes. Tara 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 Tara Mendoza's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Tara Mendoza reassigns Medicare benefits to 5 organizations: Fc Indiana, LLC (Bedford, IN), My Mobile MD LLC (Indianapolis, IN), Fast Pace Medical Clinic PLLC (Hanover, IN), Cleanslate Medical Group Of Indiana LLC (Alexandria, IN) and Pic Indiana PC (Mishawaka, IN). 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 Tara Mendoza's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Tara Mendoza accept?
Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource and 1 other insurer list Tara 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 Tara Mendoza was last updated on October 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 days 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.
# Tara Autumn Mendoza, FNP · NPI 1366742488
Family physician in Bloomington, Indiana. Individual provider, active in the CMS NPPES registry since October 22, 2010.
## Identity
- **NPI:** 1366742488 (Entity type: Individual)
- **Enumerated:** October 22, 2010
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 71003400A (Indiana)
- **Sole proprietor:** No
## Practice location
- **Address:** 4849 S WOODBINE DR, Bloomington, IN 47403-9285
- **Phone:** (812) 393-3230 · **Fax:** (812) 296-6904
## 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:** 5 organizations under Medicare reassignment (form CMS-855R): Fc Indiana, LLC (NPI 1225579063, Bedford, IN); My Mobile MD LLC (NPI 1225495716, Indianapolis, IN); Fast Pace Medical Clinic PLLC (NPI 1649770769, Hanover, IN); Cleanslate Medical Group Of Indiana LLC (NPI 1023464294, Alexandria, IN); Pic Indiana PC (NPI 1942546890, Mishawaka, IN) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2010
## Record status
- **NPPES last updated:** October 13, 2026
- **Other identifiers:** Medicaid 201019690 (IN)
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Source: [NPI Profile](https://npiprofile.com/npi/1366742488) · Data from the CMS NPPES public registry.