PEDRO ALBERTO MENDOZA (AGACNP) – Nurse Practitioner, NPI 1861769598
Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
16,360 NURSE PRACTITIONER in CA
Provider Addresses for PEDRO ALBERTO MENDOZA (AGACNP)
505 Parnassus Ave
San Francisco, CA 941432204
Phone: (415) 476-1000
Type: Location
20 York St
New Haven, CT 065103220
Phone: (915) 274-2868
Fax: (475) 246-9094
Type: Location
8608 SPINDLETOP DR
FORT WORTH, TX 761202001
Phone: (915) 274-2868
Type: Mailing
3838 LOCKHILL SELMA RD APT 212
SAN ANTONIO, TX 782301569
Phone:
Type: Mailing
8557 RESEARCH BLVD
STE 128
AUSTIN, TX 787587856
Phone: (512) 836-7399
Fax: (512) 836-7378
Type: Location
707 SHERIDAN AVE
CODY, WY 824143409
Phone: (307) 527-7501
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: 2025-02-27
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 4 Medicare enrollment records; no due dates published yet.
Enrollment records
4
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20120912000169 | I | Nurse Practitioner | TX | TBD |
| I20240823001248 | I | Nurse Practitioner | CA | TBD |
| I20240923003838 | I | Nurse Practitioner | CT | TBD |
| I20250227003587 | I | Nurse Practitioner | WY | TBD |
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.
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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99291 | Critical care, first 30-74 minutes | 43 | 42 | $0 |
Insurance plans in this area (ZIP 94143)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Critical Care (Intensivists) | TX | |
| - | NV | |
| - | TX | |
| Internal Medicine | TX | |
| Nurse Practitioner | TX | |
| Internal Medicine | TX | |
| - | TX | |
| A N E S T H E S I O L O G Y | TX | |
| Pulmonary Disease, Critical Care (Intensivists) | TX | |
| Critical Care (Intensivists), Pulmonary Disease | TX |
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