DR. MA. CONCEPCION MENDOZA PRUDENCIO MD
NPI 1700847001
Pediatrics in Jacksonville, FL

Q: What is Ma. Concepcion Prudencio's NPI number?

The NPI number for Ma. Concepcion Prudencio is 1700847001. It was assigned to this individual provider in the NPPES registry on March 28, 2006.

Q: What is Ma. Concepcion Prudencio's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Active since March 28, 2006PECOS Enrolled

910 N JEFFERSON ST, JACKSONVILLE, FL 32209(904) 359-3842(904) 359-3847 Get Directions Write a Review

NPPES record last updated: August 29, 2007. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Dr. Ma. Concepcion Mendoza Prudencio Md NPPES

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

DR. MA. CONCEPCION MENDOZA PRUDENCIO MD (NPI 1700847001) is an individual pediatrics provider in Jacksonville, Florida, licensed in Florida (ME68745) and active in the NPI registry since March 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1700847001

Entity TypeIndividualFemale

Primary Taxonomy208000000X

Provider Legal NameDR. MA. CONCEPCION MENDOZA PRUDENCIOCredential: MD

Location Address910 N JEFFERSON STJacksonville, FL 32209-6810

Mailing AddressPo Box 44008, UfjpJacksonville, FL 32231-4008 · (904) 244-3500

Phone(904) 359-3842

Fax(904) 359-3847

Sole ProprietorNo

Enumeration DateMarch 28, 2006

Last NPPES UpdateAugust 29, 2007

✔ NPI 1700847001 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

License✔ Licensed in FL · ME68745

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

910 N JEFFERSON ST, Jacksonville, FL 32209

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Other Identifiers 2

Medicare UPING12230FL

Medicare PIN27825ZFL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company).Insurance ›

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. Ma. Concepcion Mendoza Prudencio Md 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 32209 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

$87.62 typical visit price

range $56.00 – $171.84

Typical copayment $21.90 (range $14.00 – $42.96)

Most-billed visit code 99203

Established Patient

$99.16 typical visit price

range $17.57 – $139.16

Typical copayment $24.79 (range $4.39 – $34.79)

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.

DR. MARLENE S GOODFRIEND MD

Pediatrics