JERILYN BAUTISTA MENDOZA APRN
NPI 1720860224
Clinical Nurse Specialist - Oncology in Las Vegas, NV
About Jerilyn Bautista Mendoza Aprn NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JERILYN BAUTISTA MENDOZA APRN (NPI 1720860224) is an individual oncology provider in Las Vegas, Nevada, licensed in Nevada (871687) and active in the NPI registry since October 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2023).
NPPES Registry Identity
Specialties & Licenses 2
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
Jerilyn Bautista Mendoza Aprn 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.
Medicare Billing Reassignment
Medicare enrollment records show Jerilyn Mendoza reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Las Vegas, NV 89128
- Reassigned Medicare billing, Nevada enrollment
- Medicare enrollment name: The Oncology Institute Ca, A Professional Corporation
- 12 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 89128 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 2
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
LAS VEGAS, NV 89128
LAS VEGAS, NV 89128
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 Jerilyn Mendoza's NPI number?
The NPI number for Jerilyn Mendoza is 1720860224. It was assigned to this individual provider in the NPPES registry on October 18, 2023.
Where is Jerilyn Mendoza located?
Jerilyn Mendoza practices at 2911 N Tenaya Way Ste 210, Las Vegas, NV 89128. The listed phone number is (808) 330-4566.
What is Jerilyn Mendoza's specialty?
The primary specialty registered for this NPI is Clinical Nurse Specialist, specializing in Oncology, with taxonomy code 364SX0200X.
Is Jerilyn Mendoza enrolled in Medicare?
Yes. Jerilyn 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 organization bills Medicare for Jerilyn Mendoza's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jerilyn Mendoza reassigns Medicare benefits to Starling Oncology Ca, A Professional Corporation (Las Vegas, NV). The 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 Jerilyn 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 Jerilyn Mendoza was last updated on October 18, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Jerilyn Bautista Mendoza, APRN · NPI 1720860224
Oncology physician in Las Vegas, Nevada. Individual provider, active in the CMS NPPES registry since October 18, 2023.
## Identity
- **NPI:** 1720860224 (Entity type: Individual)
- **Enumerated:** October 18, 2023
- **Primary specialty:** Clinical Nurse Specialist - Oncology · taxonomy 364SX0200X
- **State license:** 871687 (Nevada)
- **Sole proprietor:** No
## Practice location
- **Address:** 2911 N TENAYA WAY STE 210, Las Vegas, NV 89128-0495
- **Phone:** (808) 330-4566
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Starling Oncology Ca, A Professional Corporation (NPI 1225514508, Las Vegas, NV), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2023
## Record status
- **NPPES last updated:** October 18, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1720860224) · Data from the CMS NPPES public registry.