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YVICA JOSEPH MENTOR
NPI 1457929069
Nurse Practitioner - Gerontology in Hollywood, FL

Active since June 11, 2021PECOS EnrolledAccepts Medicare Assignment
7701 NW 39TH ST, HOLLYWOOD, FL 33024(954) 501-2506 Get Directions Write a Review

NPPES record last updated: April 19, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Apr 19, 2024, Jun 11, 2021 (2 updates tracked since 2021).

About Yvica Joseph Mentor NPPES

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

YVICA JOSEPH MENTOR (NPI 1457929069) is an individual gerontology provider in Hollywood, Florida, licensed in Florida (APRN11013624) and active in the NPI registry since June 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1457929069
Entity TypeIndividualFemale
Primary Taxonomy363LG0600X
Provider Legal NameYVICA JOSEPH MENTOR
Location Address7701 NW 39TH STHollywood, FL 33024-8405
Mailing Address7701 Nw 39th StHollywood, FL 33024-8405
Phone(954) 501-2506
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateJune 11, 2021
Last NPPES UpdateApril 19, 20242 updates tracked since enumeration
NPPES CertifiedApril 19, 2024
✔ NPI 1457929069 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · GerontologyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LG0600X
License✔ Licensed in FL · APRN11013624
7701 NW 39TH ST, Hollywood, FL 33024
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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

Yvica Joseph Mentor 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 ID7810342656
PECOS Enrollment IDI20231013000526
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.

Medicare Billing Reassignment

Medicare enrollment records show Yvica Joseph Mentor reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Guidewell Sanitas I, LLC
6.2 mi
Multi-Specialty
12507 MIRAMAR PKWY BLDG G
Miramar, FL 33027
  • Reassigned Medicare billing, Florida enrollment
  • 229 clinicians in this Medicare group
NPI 1619635679 (844) 665-4827

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33024 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
$91.69 typical visit price
range $58.56 – $179.05
Typical copayment $22.92 (range $14.64 – $44.76)
Most-billed visit code 99203
Established Patient
$103.21 typical visit price
range $18.44 – $144.68
Typical copayment $25.80 (range $4.61 – $36.17)
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.

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 Yvica Joseph Mentor's NPI number?

The NPI number for Yvica Joseph Mentor is 1457929069. It was assigned to this individual provider in the NPPES registry on June 11, 2021.

Where is Yvica Joseph Mentor located?

Yvica Joseph Mentor practices at 7701 NW 39th St, Hollywood, FL 33024. The listed phone number is (954) 501-2506.

What is Yvica Joseph Mentor's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.

Is Yvica Joseph Mentor enrolled in Medicare?

Yes. Yvica Joseph Mentor 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 organization bills Medicare for Yvica Joseph Mentor's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Yvica Joseph Mentor reassigns Medicare benefits to Guidewell Sanitas I, LLC (Miramar, FL). The 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 Yvica Joseph Mentor's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Yvica Joseph Mentor was last updated on April 19, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.