JONATHAN OMAR MENDOZA A.P.N.
NPI 1639492945
Nurse Practitioner in Austin, TX

Q: What is Jonathan Mendoza's NPI number?

The NPI number for Jonathan Mendoza is 1639492945. It was assigned to this individual provider in the NPPES registry on March 2, 2010.

Q: What is Jonathan Mendoza's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: Is Jonathan Mendoza enrolled in Medicare?

No. Jonathan Mendoza has opted out of Medicare through October 1, 2026. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

Q: When was this NPI record last updated?

The NPPES record for Jonathan Mendoza was last updated on November 17, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.

Active since March 02, 2010Opted out of Medicare · through Oct 1, 2026

2315 W BEN WHITE BLVD, AUSTIN, TX 78704(512) 326-5440(512) 326-8660 Get Directions Write a Review

NPPES record last updated: November 17, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Jonathan Omar Mendoza A.p.n. NPPES

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

JONATHAN OMAR MENDOZA A.P.N. (NPI 1639492945) is an individual nurse practitioner in Austin, Texas, licensed in Texas (AP125975) and active in the NPI registry since March 2010. He has opted out of Medicare through October 1, 2026 and remains eligible to order and refer.

NPPES Registry Identity

NPI1639492945

Entity TypeIndividualMale

Primary Taxonomy363L00000X

Provider Legal NameJONATHAN OMAR MENDOZACredential: A.P.N.

Location Address2315 W BEN WHITE BLVDAustin, TX 78704-7524

Mailing Address2315 W Ben White BlvdAustin, TX 78704-7524 · (512) 326-5440 · Fax (512) 326-8660

Phone(512) 326-5440

Fax(512) 326-8660

Sole ProprietorNo

Enumeration DateMarch 2, 2010

Last NPPES UpdateNovember 17, 2014

✔ NPI 1639492945 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in TX · AP125975

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Also ListedChiropractorTaxonomy 111N00000X · License 11344 (TX)

2315 W BEN WHITE BLVD, Austin, TX 78704

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Other Identifiers 1

Medicare PIN373376YSN5TX

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Jonathan Omar Mendoza A.p.n. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from October 1, 2024 through October 1, 2026.

Opt-Out Effective DateOctober 1, 2024

Opt-Out In Effect ThroughOctober 1, 2026Opt-out affidavits renew automatically every two years unless cancelled

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78704 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

$89.03 typical visit price

range $57.88 – $174.00

Typical copayment $22.25 (range $14.47 – $43.50)

Most-billed visit code 99203

Established Patient

$101.65 typical visit price

range $18.88 – $142.23

Typical copayment $25.41 (range $4.72 – $35.55)

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 8

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

CYNTHIA VELASQUEZ

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