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

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.

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
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

Other Identifiers 2

Medicare UPING12230FL
Medicare PIN27825ZFL

Accepted 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.

Pediatrics
910 N JEFFERSON ST
JACKSONVILLE, FL 32209
Speech-Language Pathologist
910 N JEFFERSON ST
JACKSONVILLE, FL 32209
Registered Nurse (Case Management)
910 N JEFFERSON ST
JACKSONVILLE, FL 32209
Developmental Therapist
910 N JEFFERSON ST
JACKSONVILLE, FL 32209
Social Worker
910 N JEFFERSON ST
JACKSONVILLE, FL 32209
Developmental Therapist
910 N JEFFERSON ST
JACKSONVILLE, FL 32209
Social Worker
910 N JEFFERSON ST
JACKSONVILLE, FL 32209
Social Worker (Clinical)
910 N JEFFERSON ST
JACKSONVILLE, FL 32209

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1700847001, enumerated as an "individual" on March 28, 2006.

The provider is located at 910 N JEFFERSON ST JACKSONVILLE, FL 32209 and the phone number is (904) 359-3842.

Pediatrics with taxonomy code 208000000X.

The provider might be accepting Accepts: Florida Blue (BlueCross BlueShield FL), Florida. Please consult your insurance carrier or call the provider to verify.