JOSE ANTONIO MENDIETA APRN
NPI 1881458784
Nurse Practitioner - Gerontology in Hollywood, FL

Active since February 12, 2024PECOS Enrolled
1512 N 15TH TER, HOLLYWOOD, FL 33020(630) 292-0949 Get Directions Write a Review

NPPES record last updated: February 25, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Jose Antonio Mendieta Aprn NPPES

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

JOSE ANTONIO MENDIETA APRN (NPI 1881458784) is an individual gerontology provider in Hollywood, Florida, licensed in Florida (APRN11031146) and active in the NPI registry since February 2024. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1881458784
Entity TypeIndividualMale
Primary Taxonomy363LG0600X
Provider Legal NameJOSE ANTONIO MENDIETACredential: APRN
Location Address1512 N 15TH TERHollywood, FL 33020-3247
Mailing Address1512 N 15th TerHollywood, FL 33020-3247 · (630) 292-0949
Sole ProprietorYes
Enumeration DateFebruary 12, 2024
Last NPPES UpdateFebruary 25, 2025
NPPES CertifiedFebruary 25, 2025
NPI 1881458784 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · GerontologyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LG0600X
License Licensed in FL · APRN11031146
1512 N 15TH TER, Hollywood, FL 33020

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Jose Antonio Mendieta Aprn is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 33020 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99203

  • Average New Patient Price $91.69
  • Minimum New Patient Price $58.56
  • Maximum New Patient Price $179.05
  • Average New Patient Copayment $22.92
  • Minimum New Patient Copayment $14.64
  • Maximum New Patient Copayment $44.76

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99214

  • Average Established Patient Price $103.21
  • Minimum Established Patient Price $18.44
  • Maximum Established Patient Price $144.68
  • Average Established Patient Copayment $25.8
  • Minimum Established Patient Copayment $4.61
  • Maximum Established Patient Copayment $36.17

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1881458784, enumerated as an "individual" on February 12, 2024.

The provider is located at 1512 N 15TH TER HOLLYWOOD, FL 33020 and the phone number is (630) 292-0949.

Nurse Practitioner with taxonomy code 363LG0600X and a focus in Gerontology.

The provider might be accepting Accepts: AmeriHealth Caritas Next and Oscar Health. Please consult your insurance carrier or call the provider to verify.