AILEEN MENDOZA (PA-C) – Physician Assistant, NPI 1134701923
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
4,161 PHYSICIAN ASSISTANT in CO
Provider Addresses for AILEEN MENDOZA (PA-C)
4175 PENNYCRESS DR
JOHNSTOWN, CO 805348242
Phone: (970) 556-5184
Type: Mailing
5890 W 13TH ST STE 101
GREELEY, CO 806344821
Phone: (970) 810-0020
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 2 Open Payments records for all available years, with a total value of $13.
Total Amount is formed as General ($13) + Research ($0) + Ownership ($0) = $13.
Last reported payment date: 2023-11-06 • Largest payer in this snapshot: Micro-tech Endoscopy USA, Inc. ($13).
Total Amount
$13
General + Research + Ownership
Payments
2
Total payment records
General Amount
$13
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-11-06
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Micro-tech Endoscopy USA, Inc. | $13 |
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: 2021-05-20
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20210520001544 | I | Physician Assistant | CO | 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 |
|---|---|---|---|---|
| J0702 | Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg | 94 | 28 | $0 |
| 73110 | X-ray of wrist, minimum of 3 views | 50 | 23 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 43 | 33 | $0 |
| 20550 | Injection into tendon or ligament | 24 | 17 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 24 | 24 | $0 |
Insurance plans in this area (ZIP 80534)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Hospitalist, Internal Medicine, Osteopathic Manipulative Medicine | CO | |
| N E U R O S U R G E R Y | CO | |
| Family Practice | CO | |
| N E U R O S U R G E R Y | CA | |
| Orthopedic Surgery | CO | |
| Internal Medicine, Pediatric Medicine | MO | |
| Orthopedic Surgery | CO | |
| Orthopedic Surgery | CO | |
| Nurse Practitioner | WY | |
| Nurse Practitioner | CO |
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