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ELVIS LESTER MENDOZA VALLE MSN, APRN, AGNP-C
NPI 1477419315
Nurse Practitioner - Primary Care in Louisville, KY

Active since January 03, 2026PECOS Enrolled
11406 CASWELL SPRINGS WAY, LOUISVILLE, KY 40291(502) 953-2657 Get Directions Write a Review

NPPES record last updated: January 3, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Elvis Lester Mendoza Valle Msn, Aprn, Agnp-c NPPES

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

ELVIS LESTER MENDOZA VALLE MSN, APRN, AGNP-C (NPI 1477419315) is an individual primary care provider in Louisville, Kentucky, licensed in Kentucky (AG01260001) and active in the NPI registry since January 2026. He is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1477419315
Entity TypeIndividualMale
Primary Taxonomy363LP2300X
Provider Legal NameELVIS LESTER MENDOZA VALLECredential: MSN, APRN, AGNP-C
Location Address11406 CASWELL SPRINGS WAYLouisville, KY 40291-8328
Mailing Address11406 Caswell Springs WayLouisville, KY 40291-8328
Phone(502) 953-2657
Sole ProprietorYes
Medical School CMSOtherGraduated 2024
Enumeration DateJanuary 3, 2026
NPPES CertifiedJanuary 3, 2026
✔ NPI 1477419315 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP2300X
License✔ Licensed in KY · AG01260001
11406 CASWELL SPRINGS WAY, Louisville, KY 40291
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource, CareSource (Common Ground Healthcare).Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Elvis Lester Mendoza Valle Msn, Aprn, Agnp-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID143798918
PECOS Enrollment IDI20260511000811
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 Elvis Mendoza Valle reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Signify Health, LLC
730 mi
General Practice
4055 VALLEY VIEW LN STE 700
Dallas, TX 75244
  • Reassigned Medicare billing, Kentucky enrollment
  • 390 clinicians in this Medicare group
NPI 1689158487 (469) 466-7007

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 40291 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
$82.24 typical visit price
range $52.76 – $162.27
Typical copayment $20.56 (range $13.19 – $40.56)
Most-billed visit code 99203
Established Patient
$93.94 typical visit price
range $16.53 – $131.99
Typical copayment $23.48 (range $4.13 – $32.99)
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

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

ALEXANDER FRIAS VAZQUEZ MSN, APRN, FNP-C
Nurse Practitioner (Family)
11406 CASWELL SPRINGS WAY
LOUISVILLE, KY 40291
Jefferson County (502) 650-0736

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 Elvis Mendoza Valle's NPI number?

The NPI number for Elvis Mendoza Valle is 1477419315. It was assigned to this individual provider in the NPPES registry on January 3, 2026.

Where is Elvis Mendoza Valle located?

Elvis Mendoza Valle practices at 11406 Caswell Springs Way, Louisville, KY 40291. The listed phone number is (502) 953-2657.

What is Elvis Mendoza Valle's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

Is Elvis Mendoza Valle enrolled in Medicare?

Yes. Elvis Mendoza Valle is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Elvis Mendoza Valle's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Elvis Mendoza Valle reassigns Medicare benefits to Signify Health, LLC (Dallas, TX). 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 Elvis Mendoza Valle's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Elvis Mendoza Valle accept?

Health plans from CareSource and CareSource (Common Ground Healthcare) list Elvis Mendoza Valle 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 Elvis Mendoza Valle was last updated on January 3, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months 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.