BREEZY MICHELLE MENDOZA PMHNP, FNP - NPI 1679016885 - Nurse Practitioner in Glendale, AZ

Q: What is Breezy Mendoza's NPI number?

The NPI number for Breezy Mendoza is 1679016885. It was assigned to this individual provider in the NPPES registry on November 21, 2016.

Q: What is Breezy Mendoza's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Q: When was this NPI record last updated?

The NPPES record for Breezy Mendoza was last updated on May 11, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Breezy Michelle Mendoza Pmhnp, Fnp NPPES

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

BREEZY MICHELLE MENDOZA PMHNP, FNP (NPI 1679016885) is an individual psychiatric/mental health provider in Glendale, Arizona, licensed in Arizona (AP9650) and active in the NPI registry since November 2016. She is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1679016885

Entity TypeIndividualFemale

Primary Taxonomy363LP0808X

Provider Legal NameBREEZY MICHELLE MENDOZACredential: PMHNP, FNP

Location Address11851 N 51ST AVE STE F140Glendale, AZ 85304-2847

Mailing Address7500 N Dreamy Draw Dr Ste 145Phoenix, AZ 85020-4668 · (480) 882-4545

Phone(480) 882-4545

Fax(623) 242-1314

Sole ProprietorNo

Medical School CMSOtherGraduated 2021

Enumeration DateNovember 21, 2016

Last NPPES UpdateMay 11, 202616 updates tracked since enumeration

NPPES CertifiedMay 11, 2026

✔ NPI 1679016885 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

Licenses✔ Licensed in AZ · AP9650✔ Licensed in TX · 1160775

Also ListedNurse PractitionerTaxonomy 363L00000X · License AP61195153 (WA), C-APN.0100289-C-NP (CO)

11851 N 51ST AVE STE F140, Glendale, AZ 85304

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Other Identifiers 1

Medicaid219432AZ

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Premera Blue Cross Blue Shield of Alaska, Providence Health Plan.Insurance ›

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

Breezy Michelle Mendoza Pmhnp, Fnp 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 ID143501650

PECOS Enrollment IDI20161221000666

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 85304 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

$85.89 typical visit price

range $55.44 – $168.60

Typical copayment $21.47 (range $13.86 – $42.15)

Most-billed visit code 99203

Established Patient

$98.00 typical visit price

range $17.72 – $137.41

Typical copayment $24.50 (range $4.43 – $34.35)

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.

ALLYSON SAMBACH DNP, PMHNP-BC

Nurse Practitioner (Psychiatric/Mental Health)