SUE MENDEZ (NP) – Nurse Practitioner, NPI 1114004553

SUE MENDEZ (NP) is a healthcare provider. based in Colorado springs, Colorado. specializing in Nurse Practitioner. They hold the professional credentials NP. They hold a License No. 041206751/209002498 (IL). The NPI Number for SUE MENDEZ (NP) is 1114004553

Main info

Female
28 Years Of Experience
Accepts Medicare Assignment
Name
SUE MENDEZ (NP)
NPI
1114004553
Phone
(719) 632-5700
Address
3205 N ACADEMY BLVD
Enumeration Date
1 November 2006
Last Update Date
12 November 2015

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7196874460
Graduation Year
1998 (28 years ago)
PAC ID
7911988662
Group Practice PAC ID
4688583974
Professional Enrollment ID
I20151027002633
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

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Provider Addresses for SUE MENDEZ (NP)

  • North Academy Boulevard, Colorado Springs, El Paso County, Colorado, 80918, United States

    130

    COLORADO SPRINGS, CO 809175147

    Phone: (719) 632-5700

    Type: Mailing

  • Lane Center, 4863, North Nevada Avenue, Colorado Springs, El Paso County, Colorado, 80918, United States

    COLORADO SPRINGS, CO 809183951

    Phone: (719) 632-5700

    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: 2015-10-27

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

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
I20151027002633INurse PractitionerCOTBD

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 80917)

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Provider's Procedures

SUE MENDEZ (NP) performs procedures in Nurse Practitioner. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
NURSE PRACTITIONERCO81002Urinalysis, manual test2523

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: 4688583974View full group profile

Reviews

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Frequently asked questions

Where can patients find SUE MENDEZ (NP)'s NPI?
You can confirm SUE MENDEZ (NP) with NPI 1114004553; it appears in the national provider directory.
Is SUE MENDEZ (NP)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
Does SUE MENDEZ (NP) list a primary specialty?
If you are matching referrals, note Nurse Practitioner for SUE MENDEZ (NP). Clinical services aligned with this taxonomy classification.
What location shows for SUE MENDEZ (NP)?
We surface Colorado Springs, Colorado for SUE MENDEZ (NP) based on available NPPES addresses.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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