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: October 25, 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, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignments

2

Medicare enrollment records show Jose Mendieta reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Internal Medicine
8300 COLLIER BLVD
Naples, FL 34114
  • Reassigned Medicare billing, Florida enrollment
  • 335 clinicians in this Medicare group
Internal Medicine
13607 PINE VILLA LN
Fort Myers, FL 33912
  • Reassigned Medicare billing, Florida enrollment
  • 139 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33020 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
$91.69 typical visit price
range $58.56 – $179.05
Typical copayment $22.92 (range $14.64 – $44.76)
Most-billed visit code 99203
Established Patient
$103.21 typical visit price
range $18.44 – $144.68
Typical copayment $25.80 (range $4.61 – $36.17)
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 Jose Mendieta's NPI number?

The NPI number for Jose Mendieta is 1881458784. It was assigned to this individual provider in the NPPES registry on February 12, 2024.

Where is Jose Mendieta located?

Jose Mendieta practices at 1512 N 15th Ter, Hollywood, FL 33020. The listed phone number is (630) 292-0949.

What is Jose Mendieta's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.

Is Jose Mendieta enrolled in Medicare?

Yes. Jose Mendieta is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Jose Mendieta's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jose Mendieta reassigns Medicare benefits to 2 organizations: Cogent Healthcare Of Pensacola LLC (Naples, FL) and Cape Coral Hospitalists Inc (Fort Myers, FL). 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 Jose Mendieta's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jose Mendieta accept?

Health plans from AmeriHealth Caritas Next and Oscar Health Maintenance Organization of Florida list Jose Mendieta 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.

When was this NPI record last updated?

The NPPES record for Jose Mendieta was last updated on February 25, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.