CARLY MENDOZA FNP
NPI 1861173213
Nurse Practitioner - Family in Hampton Bays, NY
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
Specialties & Licenses
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
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.
Medicare Billing Reassignment
Medicare enrollment records show Carly Mendoza reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Southampton, NY 11968
- Reassigned Medicare billing, New York enrollment
- 134 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.
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, NYPhysician 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.
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.
HAMPTON BAYS, NY 11946
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.
Which organization bills Medicare for Carly Mendoza's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Carly Mendoza reassigns Medicare benefits to Meeting House Lane Medical Practice PC (Southampton, NY). 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 Carly Mendoza's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
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 9 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.
# Carly Mendoza, FNP · NPI 1861173213
Family physician in Hampton Bays, New York. Individual provider, active in the CMS NPPES registry since July 28, 2023.
## Identity
- **NPI:** 1861173213 (Entity type: Individual)
- **Enumerated:** July 28, 2023
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 352512 (New York)
- **Sole proprietor:** No
## Practice location
- **Address:** 34 E MONTAUK HWY STE 4, Hampton Bays, NY 11946-1866
- **Phone:** (631) 728-0505 · **Fax:** (631) 728-4038
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Meeting House Lane Medical Practice PC (NPI 1902088495, Southampton, NY), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2023
## Record status
- **NPPES last updated:** January 22, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1861173213) · Data from the CMS NPPES public registry.