JOSETTE MENDIOLA - NPI 1780489948 - Nurse Practitioner in East Point, GA

Q: What is Josette Mendiola's NPI number?

The NPI number for Josette Mendiola is 1780489948. It was assigned to this individual provider in the NPPES registry on February 13, 2025.

Q: What is Josette Mendiola's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Q: When was this NPI record last updated?

The NPPES record for Josette Mendiola was last updated on February 24, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Josette Mendiola NPPES

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

JOSETTE MENDIOLA (NPI 1780489948) is an individual adult health provider in East Point, Georgia, licensed in Georgia (RN315369) and active in the NPI registry since February 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1780489948

Entity TypeIndividualFemale

Primary Taxonomy363LA2200X

Provider Legal NameJOSETTE MENDIOLA

Location Address3088 WASHINGTON RDEast Point, GA 30344-4566

Mailing AddressPo Box 740015Atlanta, GA 30374-0015 · (312) 733-9730

Phone(470) 444-3135

Fax(404) 777-9336

Sole ProprietorNo

Medical School CMSOtherGraduated 2022

Enumeration DateFebruary 13, 2025

Last NPPES UpdateFebruary 24, 20252 updates tracked since enumeration

NPPES CertifiedFebruary 24, 2025

✔ NPI 1780489948 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LA2200X

License✔ Licensed in GA · RN315369

Also ListedNurse PractitionerTaxonomy 363L00000X · License RN315369 (GA)

3088 WASHINGTON RD, East Point, GA 30344

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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

Josette Mendiola 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 ID4981124625

PECOS Enrollment IDI20250225000846

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 30344 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

$88.06 typical visit price

range $56.84 – $172.43

Typical copayment $22.01 (range $14.21 – $43.10)

Most-billed visit code 99203

Established Patient

$100.20 typical visit price

range $18.22 – $140.40

Typical copayment $25.05 (range $4.55 – $35.10)

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 9

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

DR. DMITRIY M PELISHEV D.O.

Family Medicine