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CARLY MENDOZA FNP
NPI 1861173213
Nurse Practitioner - Family in Hampton Bays, NY

Active since July 28, 2023PECOS EnrolledAccepts Medicare Assignment
34 E MONTAUK HWY STE 4, HAMPTON BAYS, NY 11946(631) 728-0505(631) 728-4038 Get Directions Write a Review

NPPES record last updated: January 22, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 22, 2026, Jul 28, 2023 (2 updates tracked since 2023).

About Carly Mendoza Fnp NPPES

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

CARLY MENDOZA FNP (NPI 1861173213) is an individual family provider in Hampton Bays, New York, licensed in New York (352512) and active in the NPI registry since July 2023. She is enrolled in Medicare PECOS, is affiliated with Suny/stony Brook University Hospital, and is a graduate of Other (2023).

NPPES Registry Identity

NPI1861173213
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameCARLY MENDOZACredential: FNP
Location Address34 E MONTAUK HWY STE 4Hampton Bays, NY 11946-1866
Mailing Address34 E Montauk Hwy Ste 4Hampton Bays, NY 11946-1866 · (631) 728-0505 · Fax (631) 728-4038
Phone(631) 728-0505
Fax(631) 728-4038
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateJuly 28, 2023
Last NPPES UpdateJanuary 22, 20262 updates tracked since enumeration
NPPES CertifiedJanuary 22, 2026
✔ NPI 1861173213 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 NY · 352512
34 E MONTAUK HWY STE 4, Hampton Bays, NY 11946
Open in Google Maps ↗

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

Carly Mendoza Fnp 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 ID345775235
PECOS Enrollment IDI20241202002731
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.

Hospital Affiliations CMS Care Compare

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

Suny/Stony Brook University Hospital

Acute Care Hospitals · Stony Brook, NY
4/5 CMS rating
OwnershipGovernment - State
CMS Certification Number330393
LocationHealth Sciences Center SunyStony Brook, NY 11794 · Suffolk County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11946 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
$105.06 typical visit price
range $67.40 – $203.53
Typical copayment $26.26 (range $16.85 – $50.88)
Most-billed visit code 99203
Established Patient
$117.62 typical visit price
range $21.66 – $164.45
Typical copayment $29.40 (range $5.41 – $41.11)
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 3

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

CORINA ANDERSON DO
Family Medicine
34 E MONTAUK HWY STE 4
HAMPTON BAYS, NY 11946
Suffolk County (631) 728-0505
PATRICIA ELIZABETH NUNZIATA RPA-C
Physician Assistant (Medical)
34 E MONTAUK HWY STE 4
HAMPTON BAYS, NY 11946
Suffolk County (631) 728-0505
DR. TARA CHRISTINE BARCIA D.O.
Family Medicine
34 E MONTAUK HWY STE 4
HAMPTON BAYS, NY 11946
Suffolk County (631) 728-0505

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 Carly Mendoza's NPI number?

The NPI number for Carly Mendoza is 1861173213. It was assigned to this individual provider in the NPPES registry on July 28, 2023.

Where is Carly Mendoza located?

Carly Mendoza practices at 34 E Montauk Hwy Ste 4, Hampton Bays, NY 11946. The listed phone number is (631) 728-0505.

What is Carly Mendoza's specialty?

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

Is Carly Mendoza enrolled in Medicare?

Yes. Carly 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.

Is Carly Mendoza affiliated with any hospitals?

According to CMS data, Carly Mendoza is affiliated with Suny/Stony Brook University Hospital.

When was this NPI record last updated?

The NPPES record for Carly Mendoza was last updated on January 22, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.