JAIME RENEE MENDOZA (PMHNP) – Psychiatric/Mental Health Nurse Practitioner, NPI 1689915811
Psychiatric/Mental Health Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
11,632 NURSE PRACTITIONER in IL
Provider Addresses for JAIME RENEE MENDOZA (PMHNP)
16 JUNCTION DR W
STE 2
GLEN CARBON, IL 620342996
Phone: (618) 288-5019
Fax: (866) 334-2827
Type: Mailing
322 S BUCHANAN ST
EDWARDSVILLE, IL 620252086
Phone: (618) 498-0190
Fax: (618) 417-6049
Type: Mailing
6805 STATE ROUTE 162 STE 201
MARYVILLE, IL 62062
Phone: (618) 288-5019
Fax: (618) 288-5059
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 281 Open Payments records for all available years, with a total value of $56,923.
Total Amount is formed as General ($56,923) + Research ($0) + Ownership ($0) = $56,923.
Last reported payment date: 2024-12-12 • Largest payer in this snapshot: Teva Pharmaceuticals USA, Inc. ($30,460).
Total Amount
$56,923
General + Research + Ownership
Payments
281
Total payment records
General Amount
$56,923
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-12
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Teva Pharmaceuticals USA, Inc. | $30,460 |
| Axsome Therapeutics, Inc. | $22,822 |
| ABBVIE INC. | $864 |
| Supernus Pharmaceuticals, Inc. | $426 |
| E.R. Squibb & Sons, L.L.C. | $287 |
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: 2013-07-08
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 |
|---|---|---|---|---|
| I20130708000393 | I | Nurse Practitioner | IL | 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 |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 417 | 124 | $0 |
| 96127 | Assessment of emotional or behavioral problems | 281 | 110 | $0 |
| 99307 | Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes | 79 | 46 | $0 |
| 80305 | Testing for presence of drug, read by direct observation | 25 | 23 | $0 |
| 90792 | Psychiatric diagnostic evaluation with medical services | 24 | 24 | $0 |
Insurance plans in this area (ZIP 62034)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Clinical Social Worker | IL | |
| Nurse Practitioner | IL | |
| Mental Health Counselor | IL | |
| Clinical Social Worker | IL | |
| Nurse Practitioner | IL | |
| Nurse Practitioner | MO | |
| Nurse Practitioner | IL | |
| Mental Health Counselor | IL | |
| Nurse Practitioner | IL | |
| Clinical Social Worker | IL |
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