DR. DARRELL MENDOZA (CRNA) – Certified Registered Nurse Anesthetist, NPI 1386319598

DR. DARRELL MENDOZA (CRNA) is a healthcare provider. based in Jacksonville, Florida. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold the professional credentials CRNA. They hold a License No. 11014737 (FL). The NPI Number for DR. DARRELL MENDOZA (CRNA) is 1386319598

Main info

Male
5 Years Of Experience
Accepts Medicare Assignment
Name
DR. DARRELL MENDOZA (CRNA)
NPI
1386319598
Phone
Not provided
Address
14304 MARINA SAN PABLO PL APT 309
Enumeration Date
10 August 2021
Last Update Date
10 August 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6263005300
Graduation Year
2021 (5 years ago)
PAC ID
8123414620
Group Practice PAC ID
3678720604
Professional Enrollment ID
I20250724003035
Address ID
CA910063183AR288XXAVEX528

Contacts

Secure Messaging
darrell.n.mendoza.mil@mail.mil
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience32
Completeness85
Years active:4State licenses:1Other namesUpdated within 12 months

5,360 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in FL

Provider Addresses for DR. DARRELL MENDOZA (CRNA)

  • 14304 MARINA SAN PABLO PL APT 309

    JACKSONVILLE, FL 322244904

    Phone:

    Type: Mailing

  • 2080 CHILD ST DEPT 5000

    JACKSONVILLE, FL 322145000

    Phone: (904) 542-7300

    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: 2025-07-24

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 3 Medicare enrollment records; no due dates published yet.

Enrollment records

3

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
I20220411000344ICertified Registered Nurse Anesthetist (Crna)FLTBD
I20240103001664ICertified Registered Nurse Anesthetist (Crna)VATBD
I20250724003035ICertified Registered Nurse Anesthetist (Crna)CATBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
00142Anesthesia for lens surgery194181$0
00140Anesthesia for other procedure on eye2118$0
View full utilization report →

Insurance plans in this area (ZIP 32224)

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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: 3678720604View full group profile
NameSpecialtyState
Certified Registered Nurse Anesthetist (Crna)CA
Certified Registered Nurse Anesthetist (Crna)CA
Certified Registered Nurse Anesthetist (Crna)CA
-CA
Certified Registered Nurse Anesthetist (Crna)WI
-CA
Certified Registered Nurse Anesthetist (Crna)CA
Certified Registered Nurse Anesthetist (Crna)CA
Certified Registered Nurse Anesthetist (Crna)CA
Certified Registered Nurse Anesthetist (Crna)CA

Reviews

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Frequently asked questions

Can I cross-check DR. DARRELL MENDOZA (CRNA) using NPI 1386319598?
NPI 1386319598 belongs to DR. DARRELL MENDOZA (CRNA); compare other details if you need extra assurance.
Would DR. DARRELL MENDOZA (CRNA) appear as active to a payer?
You can treat DR. DARRELL MENDOZA (CRNA) as active for directory purposes; confirm clinical privileges separately.
What expertise is attributed to DR. DARRELL MENDOZA (CRNA)?
DR. DARRELL MENDOZA (CRNA)'s specialty line reads Certified Registered Nurse Anesthetist. Clinical services aligned with this taxonomy classification.
Is DR. DARRELL MENDOZA (CRNA) associated with Jacksonville?
Public fields place DR. DARRELL MENDOZA (CRNA) around Jacksonville, Florida. Always confirm the exact site before visiting.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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