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

DR. JULISSA MENDOZA M.D.
NPI 1528356771
Family Medicine in Fort Rucker, AL

Active since July 20, 2011PECOS Enrolled
301 ANDREWS AVE, FORT RUCKER, AL 36362(334) 255-7463 Get Directions Write a Review

NPPES record last updated: July 7, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 7, 2026, Jun 23, 2025, Mar 28, 2025 (3 updates tracked since 2025).

About Dr. Julissa Mendoza M.d. NPPES

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

DR. JULISSA MENDOZA M.D. (NPI 1528356771) is an individual family medicine provider in Fort Rucker, Alabama, licensed in Virginia (0101253176) and active in the NPI registry since July 2011. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1528356771
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameDR. JULISSA MENDOZACredential: M.D.
Location Address301 ANDREWS AVEFort Rucker, AL 36362
Mailing Address301 Andrews AveFort Rucker, AL 36362 · (334) 255-7463
Phone(334) 255-7463
Sole ProprietorNo
Enumeration DateJuly 20, 2011
Last NPPES UpdateJuly 7, 20263 updates tracked since enumeration
NPPES CertifiedJuly 7, 2026
✔ NPI 1528356771 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in VA · 0101253176
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedPreventive Medicine · Aerospace MedicineTaxonomy 2083A0100X · License 0101253176 (VA)
301 ANDREWS AVE, Fort Rucker, AL 36362
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Julissa Mendoza M.d. 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 36362 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
$81.90 typical visit price
range $52.65 – $161.63
Typical copayment $20.47 (range $13.16 – $40.40)
Most-billed visit code 99203
Established Patient
$93.72 typical visit price
range $16.56 – $131.65
Typical copayment $23.43 (range $4.14 – $32.91)
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.

MR. VIRGIL THOMAS SPEECE APA-C
Physician Assistant
301 ANDREWS AVE
FT RUCKER, AL 36362
Dale County (334) 255-7387
VICTOR CLEMENTS
Nurse's Aide
301 ANDREWS AVE, LAHC
FORT RUCKER, AL 36362
Dale County (334) 255-7118
DR. JOSEPH JOHN PAVELITES I MD
Preventive Medicine (Aerospace Medicine)
301 ANDREWS AVE, LYSTER ARMY MEDICAL CENTER
FORT RUCKER, AL 36362
Dale County (334) 255-7000
DR. JUSTIN CHIHYAN PAO O.D.
Optometrist
301 ANDREWS AVE
FORT RUCKER, AL 36362
Dale County (800) 261-7193
MATTHEW DAVID CHAPPELL PA
Physician Assistant
301 ANDREWS AVE
FT. RUCKER, AL 36362
Dale County (334) 255-3853
SHANICE COLEMAN MEDICAL ASSISTANT
Technician
301 ANDREWS AVE
FT. RUCKER, AL 36362
Dale County (333) 255-7755
MRS. MARISSA B WILLIAMS RN
Registered Nurse (Ambulatory Care)
301 ANDREWS AVE
FORT RUCKER, AL 36362
Dale County (334) 255-7574
JUSTIN TETREAULT RN
Registered Nurse
301 ANDREWS AVE, LYSTER ARMY HEALTH CLININC
FORT RUCKER, AL 36362
Dale County (334) 255-7341

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 Julissa Mendoza's NPI number?

The NPI number for Julissa Mendoza is 1528356771. It was assigned to this individual provider in the NPPES registry on July 20, 2011.

Where is Julissa Mendoza located?

Julissa Mendoza practices at 301 Andrews Ave, Fort Rucker, AL 36362. The listed phone number is (334) 255-7463.

What is Julissa Mendoza's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Julissa Mendoza enrolled in Medicare?

Yes. Julissa Mendoza is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Julissa Mendoza was last updated on July 7, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 43 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.