VINCENT J MENO – Family Nurse Practitioner, NPI 1023504693

VINCENT J MENO is a healthcare provider. based in Norwalk, California. specializing in NURSE PRACTITIONER. They hold a License No. 95129001 (CA). The NPI Number for VINCENT J MENO is 1023504693

Main info

Male
7 Years Of Experience
Accepts Medicare Assignment
Name
VINCENT J MENO
NPI
1023504693
Phone
Not provided
Address
15627 MADRIS AVE
Enumeration Date
7 July 2018
Last Update Date
27 August 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8774483627
Graduation Year
2019 (7 years ago)
PAC ID
8224467972
Group Practice PAC ID
3072425784
Professional Enrollment ID
I20250813004232
Address ID
OR970303386GR24076STXX402

Contacts

SOAP Endpoint
https://careepicwest.kp.org:14430/interconnect-prodnwm/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ceq
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience61
Completeness95
Years active:7State licenses:3Other names

16,360 NURSE PRACTITIONER in CA

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Provider Addresses for VINCENT J MENO

  • 15627, Madris Avenue, Norwalk, Los Angeles County, California, 90650, United States

    NORWALK, CA 906506759

    Phone:

    Type: Mailing

  • 1230 7TH AVE

    LONGVIEW, WA 986323166

    Phone: (360) 575-4899

    Type: Mailing

  • 170 DEE CREEK RD

    WOODLAND, WA 986749226

    Phone: (562) 716-8858

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2025-08-13

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20220316001306INurse PractitionerWATBD
I20250813004232INurse PractitionerORTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 90650)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3072425784View full group profile
NameSpecialtyState
-IL
Nurse PractitionerMI
-IL
Infectious DiseaseIL
Emergency Medicine, Family PracticeTN
Physician AssistantIL
Nurse PractitionerIL
-IL
Nurse PractitionerFL
Physician AssistantIL

Reviews

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Frequently asked questions

What identifier follows VINCENT J MENO across health systems?
The NPI 1023504693 uniquely identifies VINCENT J MENO in U.S. healthcare data.
Does the public listing show VINCENT J MENO as active?
VINCENT J MENO's NPI record reflects an active status in NPPES.
How should patients interpret VINCENT J MENO's specialty?
The extract shows Family Nurse Practitioner for VINCENT J MENO. Clinical services aligned with this taxonomy classification.
Can patients visit VINCENT J MENO in Norwalk, California?
For routing, start with Norwalk, California for VINCENT J MENO, then verify phone and hours locally.
Why is information missing for VINCENT J MENO?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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