DR. MICHELLE LYN MENDOZA (MD) – Emergency Medicine Physician, NPI 1265633648

DR. MICHELLE LYN MENDOZA (MD) is a healthcare provider. based in Worcester, Massachusetts. specializing in EMERGENCY MEDICINE. They hold the professional credentials MD. They hold a License No. 0101277343 (VA). The NPI Number for DR. MICHELLE LYN MENDOZA (MD) is 1265633648

Main info

Female
21 Years Of Experience
Accepts Medicare Assignment
Name
DR. MICHELLE LYN MENDOZA (MD)
NPI
1265633648
Phone
(508) 421-1400
Address
55 Lake Ave N
Enumeration Date
31 May 2007
Last Update Date
10 March 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2394365000
Graduation Year
2005 (21 years ago)
PAC ID
8123194578
Group Practice PAC ID
0648314393
Professional Enrollment ID
I20180809000912
Address ID
FL341025754NA350XXNXXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience80
Completeness85
Years active:19State licenses:3Digital endpointsOther names

1,682 EMERGENCY MEDICINE in MA

Provider Addresses for DR. MICHELLE LYN MENDOZA (MD)

  • 55 Lake Ave N

    Worcester, MA 016550002

    Phone: (508) 421-1400

    Fax: (508) 421-1490

    Type: Location

  • 2495 Pocahontas Trl

    Quinton, VA 231411637

    Phone: (804) 932-5500

    Fax: (804) 932-5531

    Type: Location

  • PO Box 44008

    Jacksonville, FL 322314008

    Phone: (904) 244-3131

    Type: Location

  • 300 Mt Clement Park Ste A

    Tappahannock, VA 225605098

    Phone: (804) 443-8610

    Fax: (804) 443-8620

    Type: Location

  • 1755 N Mecklenburg Ave

    South Hill, VA 239704080

    Phone: (804) 443-6297

    Fax: (804) 443-6161

    Type: Location

  • 1250 E Marshall St

    Richmond, VA 232985023

    Phone: (804) 828-0996

    Fax: (804) 628-0384

    Type: Location

  • 3126, West Euclid Avenue, Palma Ceia, Tampa, Hillsborough County, Florida, 33629, United States

    TAMPA, FL 336298920

    Phone:

    Type: Mailing

  • Davis Boulevard, Davis Islands, Tampa, Hillsborough County, Florida, 33606, United States

    TAMPA, FL 336063480

    Phone: (813) 627-5973

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $98.

Total Amount is formed as General ($98) + Research ($0) + Ownership ($0) = $98.

Last reported payment date: 2024-02-27 • Largest payer in this snapshot: Janssen Pharmaceuticals, Inc ($98).

Total Amount

$98

General + Research + Ownership

Payments

1

Total payment records

General Amount

$98

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-02-27

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2023-11-02

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
I20180809000912IEmergency MedicineFLTBD
I20230309000602IEmergency MedicineVATBD
I20231102001185IEmergency MedicineNCTBD

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
99285Emergency department visit with high level of medical decision making256251$0
99284Emergency department visit with moderate level of medical decision making9190$0
93010Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only5655$0
99283Emergency department visit with low level of medical decision making2626$0
99291Critical care, first 30-74 minutes1313$0
View full utilization report →

Insurance plans in this area (ZIP 01655)

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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: 0648314393View full group profile
NameSpecialtyState
-FL
Emergency MedicineFL
Emergency MedicineFL
Emergency MedicineFL
Emergency MedicineGU
Emergency MedicineFL
Emergency MedicineMS
Emergency MedicineFL
Emergency MedicineFL
Emergency MedicineFL

Reviews

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Frequently asked questions

Is there an official ID for DR. MICHELLE LYN MENDOZA (MD) in U.S. healthcare records?
The official identifier for DR. MICHELLE LYN MENDOZA (MD) is NPI 1265633648.
Would DR. MICHELLE LYN MENDOZA (MD) appear as active to a payer?
You can treat DR. MICHELLE LYN MENDOZA (MD) as active for directory purposes; confirm clinical privileges separately.
What expertise is attributed to DR. MICHELLE LYN MENDOZA (MD)?
DR. MICHELLE LYN MENDOZA (MD)'s specialty line reads Emergency Medicine Physician. Clinical services aligned with this taxonomy classification.
Is DR. MICHELLE LYN MENDOZA (MD) associated with Worcester?
Public fields place DR. MICHELLE LYN MENDOZA (MD) around Worcester, Massachusetts. Always confirm the exact site before visiting.
What does 8 location(s) imply?
8 practice locations appear in the available data.