SOPHIA MENDEZ PMHNP-BC
NPI 1841931326
Nurse Practitioner - Psychiatric/Mental Health in Boston, MA

Active since April 06, 2022PECOS EnrolledAccepts Medicare Assignment

NPPES record last updated: August 5, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Aug 5, 2024, Jul 22, 2024, May 14, 2023 and 1 more (4 updates tracked since 2022).

About Sophia Mendez Pmhnp-bc NPPES

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

SOPHIA MENDEZ PMHNP-BC (NPI 1841931326) is an individual psychiatric/mental health provider in Boston, Massachusetts, licensed in Massachusetts (RN2284079) and active in the NPI registry since April 2022. She is enrolled in Medicare PECOS, is affiliated with Massachusetts General Hospital, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1841931326
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameSOPHIA MENDEZCredential: PMHNP-BC
Location Address55 FRUIT STBoston, MA 02114-2696
Mailing Address55 Fruit StBoston, MA 02114-2621 · (617) 726-2000
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateApril 6, 2022
Last NPPES UpdateAugust 5, 20244 updates tracked since enumeration
NPPES CertifiedAugust 5, 2024
✔ NPI 1841931326 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in MA · RN2284079
Also ListedRegistered NurseTaxonomy 163W00000X · License RN2284079 (MA)
55 FRUIT ST, Boston, MA 02114

Secondary Practice Locations 2

Location 1940 Belmont St Bldg 2Brockton, MA 02301-5596 · Phone (774) 826-3411
Location 2780 Albany StBoston, MA 02118-2755 · Phone (857) 654-1000 · Fax (857) 654-1100

Accepted Insurance

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

Sophia Mendez Pmhnp-bc 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 ID9638535172
PECOS Enrollment IDI20230525001334
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

3

Medicare enrollment records show Sophia Mendez reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Dermatology
55 FRUIT ST, BUL 2
Boston, MA 02114
  • Reassigned Medicare billing, Massachusetts enrollment
  • 6,360 clinicians in this Medicare group
General Acute Care Hospital
55 FRUIT ST, BULFINCH 360
Boston, MA 02114
  • Reassigned Medicare billing, Massachusetts enrollment
  • 6,234 clinicians in this Medicare group
Federally Qualified Health Center (FQHC)
55 FRUIT ST, WACC 108
Boston, MA 02114
  • Reassigned Medicare billing, Massachusetts enrollment
  • 116 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.

Areas of Expertise CMS Part B claims

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
36 services21 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Massachusetts General Hospital

Acute Care Hospitals · Boston, MA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220071
Location55 Fruit StreetBoston, MA 02114 · Suffolk County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02114 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
$97.64 typical visit price
range $63.72 – $189.86
Typical copayment $24.41 (range $15.93 – $47.46)
Most-billed visit code 99203
Established Patient
$111.18 typical visit price
range $21.07 – $155.29
Typical copayment $27.79 (range $5.26 – $38.82)
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 20

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

Pathology (Anatomic Pathology)
55 FRUIT ST
BOSTON, MA 02114
Internal Medicine (Hematology & Oncology)
55 FRUIT ST
BOSTON, MA 02114
Anesthesiology
55 FRUIT ST, GRAY-BIGELOW 444
BOSTON, MA 02114
Physical Medicine & Rehabilitation
55 FRUIT ST
BOSTON, MA 02114
Internal Medicine (Infectious Disease)
55 FRUIT ST, DIVISION OF INFECTIOUS DISEASE, GRJ-504
BOSTON, MA 02114
Nurse Practitioner (Acute Care)
55 FRUIT ST, BIGALOW 852 F
BOSTON, MA 02114
Nurse Practitioner
55 FRUIT ST
BOSTON, MA 02114
Internal Medicine (Cardiovascular Disease)
55 FRUIT ST
BOSTON, MA 02114

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 Sophia Mendez's NPI number?

The NPI number for Sophia Mendez is 1841931326. It was assigned to this individual provider in the NPPES registry on April 6, 2022.

Where is Sophia Mendez located?

Sophia Mendez practices at 55 Fruit St, Boston, MA 02114. The listed phone number is (617) 726-2000.

What is Sophia Mendez's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Sophia Mendez enrolled in Medicare?

Yes. Sophia Mendez 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 Sophia Mendez's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sophia Mendez reassigns Medicare benefits to 3 organizations: Massachusetts General Physicians Organization Inc (Boston, MA), The General Hospital Corporation (Boston, MA) and Boston Health Care For The Homeless Program, Inc. (Boston, MA). 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 Sophia Mendez's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Sophia Mendez accept?

Health plans from Anthem Blue Cross and Blue Shield, Harvard Pilgrim Health Care, Taro Health and WellSense Health Plan list Sophia Mendez 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.

Is Sophia Mendez affiliated with any hospitals?

According to CMS data, Sophia Mendez is affiliated with Massachusetts General Hospital.

When was this NPI record last updated?

The NPPES record for Sophia Mendez was last updated on August 5, 2024. 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.