Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MATTHEW MENDILLO APRN,FNP-C
NPI 1467090415
Nurse Practitioner - Family in Philadelphia, PA

Q: What is Matthew Mendillo's NPI number?

The NPI number for Matthew Mendillo is 1467090415. It was assigned to this individual provider in the NPPES registry on December 19, 2019.

Q: What is Matthew Mendillo's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Matthew Mendillo was last updated on September 30, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 27 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.

Active since December 19, 2019PECOS Enrolled

93.78/100

CMS Quality Rating

100 S JUNIPER ST FL 3, PHILADELPHIA, PA 19107(866) 849-0692(888) 973-8821 Get Directions Write a Review

NPPES record last updated: September 30, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Sep 30, 2026, Aug 6, 2026, Jul 30, 2026 and 11 more (14 updates tracked since 2019).

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About Matthew Mendillo Aprn,fnp-c NPPES

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

MATTHEW MENDILLO APRN,FNP-C (NPI 1467090415) is an individual family provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (SP021250) and active in the NPI registry since December 2019. He is enrolled in Medicare PECOS and maintains a secondary practice location in Greensburg.

NPPES Registry Identity

NPI1467090415

Entity TypeIndividualMale

Primary Taxonomy363LF0000X

Provider Legal NameMATTHEW MENDILLOCredential: APRN,FNP-C

Location Address100 S JUNIPER ST FL 3Philadelphia, PA 19107-1316

Mailing AddressPo Box 211699Eagan, MN 55121-3699 · (866) 849-0692 · Fax (888) 973-8821

Phone(866) 849-0692

Fax(888) 973-8821

Sole ProprietorNo

Enumeration DateDecember 19, 2019

Last NPPES UpdateSeptember 30, 202614 updates tracked since enumeration

NPPES CertifiedSeptember 30, 2026

✔ NPI 1467090415 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

Licenses✔ Licensed in PA · SP021250✔ Licensed in AZ · 346239✔ Licensed in FL · APRN11037015✔ Licensed in SC · 31801✔ Licensed in OH · APRN.CNP.0036815✔ Licensed in TN · 41459✔ Licensed in NC · 5023866✔ Licensed in OK · 230894✔ Licensed in AL · 3-003046✔ Licensed in DE · LG-0013457

100 S JUNIPER ST FL 3, Philadelphia, PA 19107

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Secondary Practice Location 1

Location 1118 Nature Park RdGreensburg, PA 15601-6960 · Phone (412) 515-2239

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Matthew Mendillo Aprn,fnp-c 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.

Medicare Billing Reassignments

Medicare enrollment records show Matthew Mendillo reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Devoted Medical PA PC

0.3 mi

Primary Care

100 S JUNIPER ST FL 3
Philadelphia, PA 19107

Reassigned Medicare billing, Pennsylvania enrollment
19 clinicians in this Medicare group

NPI 1114642683 (866) 849-0692

Allegheny Clinic

217 mi

Family Medicine

621 W MAIN ST, SUITE 1
Ligonier, PA 15658

Reassigned Medicare billing, Pennsylvania enrollment
2,881 clinicians in this Medicare group

NPI 1063946291 (724) 238-4103

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.

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.

72 services56 patients

Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439

An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.

25 services25 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19107 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

$92.69 typical visit price

range $59.88 – $180.99

Typical copayment $23.17 (range $14.97 – $45.24)

Most-billed visit code 99203

Established Patient

$105.21 typical visit price

range $19.30 – $147.29

Typical copayment $26.30 (range $4.82 – $36.82)

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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

93.78/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored through an Alternative Payment Model

Quality

85.07

Promoting Interoperability

100

Improvement Activities

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.

MARI KERR NP

Nurse Practitioner (Family)