1. Home
  2. Directory
  3. New Jersey
  4. Edison
  5. Nurse Practitioner
  6. NPI Profile

MRS. PREMILLA MENDONCA APN-C
NPI 1619417300
Nurse Practitioner - Gerontology in Edison, NJ

Active since March 01, 2017PECOS EnrolledAccepts Medicare Assignment

NPPES record last updated: October 8, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Oct 8, 2024, Mar 1, 2017 (2 updates tracked since 2017).

About Mrs. Premilla Mendonca Apn-c NPPES

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

MRS. PREMILLA MENDONCA APN-C (NPI 1619417300) is an individual gerontology provider in Edison, New Jersey, licensed in New Jersey (26NJ00636900) and active in the NPI registry since March 2017. She is enrolled in Medicare PECOS, is affiliated with Robert Wood Johnson University Hospital, and is a graduate of Rutgers New Jersey Medical School (2015).

NPPES Registry Identity

NPI1619417300
Entity TypeIndividualFemale
Primary Taxonomy363LG0600X
Provider Legal NameMRS. PREMILLA MENDONCACredential: APN-C
Location Address73 KAREN PLEdison, NJ 08817-2352
Mailing Address73 Karen PlEdison, NJ 08817-2352 · (732) 331-8947
Phone(732) 331-8947
Sole ProprietorNo
Medical School CMSRutgers New Jersey Medical SchoolGraduated 2015
Enumeration DateMarch 1, 2017
Last NPPES UpdateOctober 8, 20242 updates tracked since enumeration
NPPES CertifiedOctober 8, 2024
✔ NPI 1619417300 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 NJ · 26NJ00636900
73 KAREN PL, Edison, NJ 08817
Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mrs. Premilla Mendonca Apn-c 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 ID4486037496
PECOS Enrollment IDI20220823003408
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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Robert Wood Johnson University Hospital

Acute Care Hospitals · New Brunswick, NJ
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310038
LocationOne Robert Wood Johnson PlaceNew Brunswick, NJ 08901 · Middlesex County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 08817 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
$98.09 typical visit price
range $63.84 – $190.92
Typical copayment $24.52 (range $15.96 – $47.73)
Most-billed visit code 99203
Established Patient
$111.57 typical visit price
range $20.97 – $155.92
Typical copayment $27.89 (range $5.24 – $38.98)
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 Premilla Mendonca's NPI number?

The NPI number for Premilla Mendonca is 1619417300. It was assigned to this individual provider in the NPPES registry on March 1, 2017.

Where is Premilla Mendonca located?

Premilla Mendonca practices at 73 Karen Pl, Edison, NJ 08817. The listed phone number is (732) 331-8947.

What is Premilla Mendonca's specialty?

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

Is Premilla Mendonca enrolled in Medicare?

Yes. Premilla Mendonca 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.

Is Premilla Mendonca affiliated with any hospitals?

According to CMS data, Premilla Mendonca is affiliated with Robert Wood Johnson University Hospital.

When was this NPI record last updated?

The NPPES record for Premilla Mendonca was last updated on October 8, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.