KELSEY MENDOZA APN
NPI 1881578763
Nurse Practitioner - Psychiatric/Mental Health in South Bend, IN

Q: What is Kelsey Mendoza's NPI number?

The NPI number for Kelsey Mendoza is 1881578763. It was assigned to this individual provider in the NPPES registry on August 4, 2025.

Q: What is Kelsey Mendoza's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Kelsey Mendoza was last updated on August 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.

Active since August 04, 2025PECOS Enrolled

415 E MADISON ST, SOUTH BEND, IN 46617(574) 533-1234 Get Directions Write a Review

NPPES record last updated: August 4, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Kelsey Mendoza Apn NPPES

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

KELSEY MENDOZA APN (NPI 1881578763) is an individual psychiatric/mental health provider in South Bend, Indiana, licensed in Indiana (71016897A) and active in the NPI registry since August 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1881578763

Entity TypeIndividualFemale

Primary Taxonomy363LP0808X

Provider Legal NameKELSEY MENDOZACredential: APN

Location Address415 E MADISON STSouth Bend, IN 46617-2322

Mailing AddressPo Box 809Goshen, IN 46527-0809 · (574) 533-1234

Phone(574) 533-1234

Sole ProprietorNo

Medical School CMSOtherGraduated 2025

Enumeration DateAugust 4, 2025

NPPES CertifiedJuly 28, 2025

✔ NPI 1881578763 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

License✔ Licensed in IN · 71016897A

415 E MADISON ST, South Bend, IN 46617

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kelsey Mendoza Apn is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9537665534

PECOS Enrollment IDI20250930000512

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 CMS claims · ZIP area

Typical Medicare office-visit costs in the 46617 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

$82.04 typical visit price

range $53.07 – $161.76

Typical copayment $20.51 (range $13.26 – $40.44)

Most-billed visit code 99203

Established Patient

$94.22 typical visit price

range $16.93 – $132.22

Typical copayment $23.55 (range $4.23 – $33.05)

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.

BREANA S BOWSHER MSW

Social Worker