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MISS MADELINE ROMANELLA MENDOZA CRNP
NPI 1831906890
Nurse Practitioner - Family in Randallstown, MD

Active since December 13, 2024PECOS EnrolledAccepts Medicare Assignment
5415 OLD COURT RD STE 2, RANDALLSTOWN, MD 21133(410) 602-7782 Get Directions Write a Review

NPPES record last updated: December 13, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Miss Madeline Romanella Mendoza Crnp NPPES

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

MISS MADELINE ROMANELLA MENDOZA CRNP (NPI 1831906890) is an individual family provider in Randallstown, Maryland, licensed in Maryland (AC007065) and active in the NPI registry since December 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1831906890
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMISS MADELINE ROMANELLA MENDOZACredential: CRNP
Location Address5415 OLD COURT RD STE 2Randallstown, MD 21133-5170
Mailing Address1211 S Eaton St Unit 4038Baltimore, MD 21224-4398 · (732) 470-6623
Phone(410) 602-7782
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateDecember 13, 2024
NPPES CertifiedDecember 13, 2024
✔ NPI 1831906890 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in MD · AC007065
5415 OLD COURT RD STE 2, Randallstown, MD 21133
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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

Miss Madeline Romanella Mendoza Crnp 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 ID446789077
PECOS Enrollment IDI20250128003073
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 Reassignment

Medicare enrollment records show Madeline Mendoza reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Lifebridge Community Gastroenterology, LLC
3.4 mi
Gastroenterology
1838 GREENE TREE RD, SUITE 400
Pikesville, MD 21208
  • Reassigned Medicare billing, Maryland enrollment
  • 103 clinicians in this Medicare group
NPI 1033558416 (410) 602-7782

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 21133 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
$94.08 typical visit price
range $60.73 – $183.44
Typical copayment $23.52 (range $15.18 – $45.86)
Most-billed visit code 99203
Established Patient
$106.59 typical visit price
range $19.60 – $149.17
Typical copayment $26.64 (range $4.90 – $37.29)
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.

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 Madeline Mendoza's NPI number?

The NPI number for Madeline Mendoza is 1831906890. It was assigned to this individual provider in the NPPES registry on December 13, 2024.

Where is Madeline Mendoza located?

Madeline Mendoza practices at 5415 Old Court Rd Ste 2, Randallstown, MD 21133. The listed phone number is (410) 602-7782.

What is Madeline Mendoza's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Madeline Mendoza enrolled in Medicare?

Yes. Madeline 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 Madeline Mendoza's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Madeline Mendoza reassigns Medicare benefits to Lifebridge Community Gastroenterology, LLC (Pikesville, MD). 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 Madeline 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 Madeline Mendoza was last updated on December 13, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months 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.