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CARMELITA MENDOZA NP
NPI 1710476866
Nurse Practitioner in Phillipsburg, NJ

Active since May 04, 2018PECOS EnrolledAccepts Medicare Assignment
185 ROSEBERRY ST, PHILLIPSBURG, NJ 08865(484) 526-6643(484) 526-4658 Get Directions Write a Review

NPPES record last updated: May 4, 2018. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Carmelita Mendoza Np NPPES

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

CARMELITA MENDOZA NP (NPI 1710476866) is an individual nurse practitioner in Phillipsburg, New Jersey, licensed in New Jersey (26NJ00796400) and active in the NPI registry since May 2018. She is enrolled in Medicare PECOS and is a graduate of Other (2016).

NPPES Registry Identity

NPI1710476866
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameCARMELITA MENDOZACredential: NP
Location Address185 ROSEBERRY STPhillipsburg, NJ 08865-1690
Mailing Address185 Roseberry StPhillipsburg, NJ 08865-1690 · (908) 847-2621 · Fax (908) 847-3045
Phone(484) 526-6643
Fax(484) 526-4658
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateMay 4, 2018
✔ NPI 1710476866 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in NJ · 26NJ00796400
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.
185 ROSEBERRY ST, Phillipsburg, NJ 08865
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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

Carmelita Mendoza Np 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 ID1850647025
PECOS Enrollment IDI20180629001555
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Carmelita Mendoza reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

St. Luke's Warren Physician Group, PC
Same address
Surgical
185 ROSEBERRY ST
Phillipsburg, NJ 08865
  • Reassigned Medicare billing, New Jersey enrollment
  • Medicare enrollment name: St Lukes Warren Physician Group PC
  • 528 clinicians in this Medicare group
NPI 1023746211 (908) 847-2621
Vascular Health LLC
57 mi
Nephrology
77 SCHANCK RD STE B-3
Freehold, NJ 07728
  • Reassigned Medicare billing, New Jersey enrollment
  • 15 clinicians in this Medicare group
NPI 1053977801 (732) 952-5353

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 13

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Residence visit for established patient with straightforward medical decision making, per day, if using time, at least 15 minutes 99347
An established patient home visit is a service where a healthcare professional visits your home for a 15-minute check-up. It's designed for patients who have previously seen the professional. The visit may include basic health assessments and discussions about your ongoing care.
58 services49 patients
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
54 services48 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
42 services32 patients
Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes 99305
An initial nursing facility visit per day is a service where a healthcare professional spends about 35 minutes assessing a patient's health status. This includes reviewing medical history, conducting a physical exam, and developing a care plan based on the patient's needs.
38 services38 patients
Initial nursing facility care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99304
An initial nursing facility visit is a daily check-up to monitor your health status. This service, lasting typically 25 minutes, involves a nurse assessing your overall wellbeing, discussing concerns, and updating your care plan as needed.
35 services35 patients
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
34 services29 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 08865 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
$98.09 typical visit price
range $63.84 – $190.92
Typical copayment $24.52 (range $15.96 – $47.73)
Most-billed visit code 99203
Established Patient
$111.57 typical visit price
range $20.97 – $155.92
Typical copayment $27.89 (range $5.24 – $38.98)
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.

Referred Medical Equipment & Supplies CMS DME claims 8

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Commode chair, mobile or stationary, with fixed arms E0163
DME-Other DME · category DE000N
2 suppliers25 claims25 services$41.78 avg. paid by Medicare
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress E0260
DME-Hospital Beds · category DB000N
2 suppliers33 claims34 services$42.32 avg. paid by Medicare
Nebulizer, with compressor E0570
DME-Other DME · category DE000N
2 suppliers26 claims26 services$3.01 avg. paid by Medicare
Manual wheelchair accessory, anti-tipping device, each E0971
DME-Wheelchairs · category DD021N
2 suppliers18 claims35 services$22.89 avg. paid by Medicare
Wheelchair accessory, positioning belt/safety belt/pelvic strap, each E0978
DME-Wheelchairs · category DD021N
2 suppliers15 claims15 services$17.64 avg. paid by Medicare
General use wheelchair seat cushion, width less than 22 inches, any depth E2601
DME-Wheelchairs · category DD021N
2 suppliers19 claims19 services$26.66 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

ST. LUKE'S WARREN PHYSICIAN GROUP, PC
Physician Assistant (Surgical)
185 ROSEBERRY ST
PHILLIPSBURG, NJ 08865
Warren County (908) 847-2621
DR. SHIVA REZVANIAN M.D
Internal Medicine
185 ROSEBERRY ST
PHILLIPSBURG, NJ 08865
Warren County (908) 835-1910
JOHN M BROWN MD
Pathology (Anatomic Pathology)
185 ROSEBERRY ST, WARREN HOSPITAL
PHILLIPSBURG, NJ 08865
Warren County (908) 859-6750
DR. DARIA M. STAROSTA DO
Emergency Medicine
185 ROSEBERRY ST
PHILLIPSBURG, NJ 08865
Warren County (908) 859-6700
DR. ATILIO R ROSCHER MD
Emergency Medicine
185 ROSEBERRY ST
PHILLIPSBURG, NJ 08865
Warren County (908) 859-6700
MS. JERI LYNN FLYNN MPH,RD,CHES
Dietitian, Registered
185 ROSEBERRY ST, 185 ROSEBERRY ST
PHILLIPSBURG, NJ 08865
Warren County (908) 859-6700
YING SUN CRNA
Nurse Anesthetist, Certified Registered
185 ROSEBERRY ST
PHILLIPSBURG, NJ 08865
Warren County (610) 954-5810
SARA VINCENZI RD, LDN
Dietitian, Registered
185 ROSEBERRY ST
PHILLIPSBURG, NJ 08865
Warren County (908) 859-6700

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 Carmelita Mendoza's NPI number?

The NPI number for Carmelita Mendoza is 1710476866. It was assigned to this individual provider in the NPPES registry on May 4, 2018.

Where is Carmelita Mendoza located?

Carmelita Mendoza practices at 185 Roseberry St, Phillipsburg, NJ 08865. The listed phone number is (484) 526-6643.

What is Carmelita Mendoza's specialty?

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

Is Carmelita Mendoza enrolled in Medicare?

Yes. Carmelita Mendoza 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 organizations bill Medicare for Carmelita Mendoza's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Carmelita Mendoza reassigns Medicare benefits to 2 organizations: St. Luke's Warren Physician Group, PC (Phillipsburg, NJ) and Vascular Health LLC (Freehold, NJ). Each 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 Carmelita Mendoza's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Carmelita Mendoza was last updated on May 4, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.