JERILYN BAUTISTA MENDOZA APRN
NPI 1720860224
Clinical Nurse Specialist - Oncology in Las Vegas, NV

Active since October 18, 2023PECOS EnrolledAccepts Medicare Assignment
2911 N TENAYA WAY STE 210, LAS VEGAS, NV 89128(808) 330-4566 Get Directions Write a Review

NPPES record last updated: October 18, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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

NPI1720860224
Entity TypeIndividualFemale
Primary Taxonomy364SX0200X
Provider Legal NameJERILYN BAUTISTA MENDOZACredential: APRN
Location Address2911 N TENAYA WAY STE 210Las Vegas, NV 89128-0495
Mailing Address2911 N Tenaya Way Ste 210Las Vegas, NV 89128-0495 · (808) 330-4566
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateOctober 18, 2023
NPPES CertifiedOctober 17, 2023
NPI 1720860224 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyClinical Nurse Specialist · OncologyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code364SX0200X
License Licensed in NV · 871687
Also ListedRegistered NurseTaxonomy 163W00000X · License RN79205 (NV)
2911 N TENAYA WAY STE 210, Las Vegas, NV 89128

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 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.

PECOS PAC ID5698115616
PECOS Enrollment IDI20240424002566
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 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.

New Patient
$131.25 typical visit price
range $57.07 – $173.24
Typical copayment $32.81 (range $14.26 – $43.31)
Most-billed visit code 99204
Established Patient
$100.60 typical visit price
range $18.27 – $140.96
Typical copayment $25.15 (range $4.56 – $35.24)
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 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Internal Medicine (Hematology & Oncology)
2911 N TENAYA WAY STE 210
LAS VEGAS, NV 89128
Internal Medicine (Hematology & Oncology)
2911 N TENAYA WAY STE 210
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.

What insurance does Jerilyn Mendoza accept?

Health plans from Ambetter from Arizona Complete Health list Jerilyn Mendoza as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

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 2 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.