MRS. PREMILLA MENDONCA APN-C
NPI 1619417300
Nurse Practitioner - Gerontology in Edison, NJ
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
Specialties & Licenses
Accepted Insurance
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
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.
Medicare Billing Reassignment
Medicare enrollment records show Premilla Mendonca reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Piscataway, NJ 08854
- Reassigned Medicare billing, New Jersey enrollment
- 641 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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, NJPhysician 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.
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.
Which organization bills Medicare for Premilla Mendonca's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Premilla Mendonca reassigns Medicare benefits to Rutgers Health-Rwj Scleroderma Program (Piscataway, NJ). 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 Premilla Mendonca's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Premilla Mendonca accept?
Health plans from Ambetter Health and Ambetter Health of Delaware list Premilla Mendonca 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.
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 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.
# Mrs. Premilla Mendonca, APN-C · NPI 1619417300
Gerontology physician in Edison, New Jersey. Individual provider, active in the CMS NPPES registry since March 1, 2017.
## Identity
- **NPI:** 1619417300 (Entity type: Individual)
- **Enumerated:** March 1, 2017
- **Primary specialty:** Nurse Practitioner - Gerontology · taxonomy 363LG0600X
- **State license:** 26NJ00636900 (New Jersey)
- **Sole proprietor:** No
## Practice location
- **Address:** 73 KAREN PL, Edison, NJ 08817-2352
- **Phone:** (732) 331-8947
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Rutgers Health-Rwj Scleroderma Program (NPI 1316222664, Piscataway, NJ), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Rutgers New Jersey Medical School, class of 2015
## Record status
- **NPPES last updated:** October 8, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1619417300) · Data from the CMS NPPES public registry.