ELYSSA MENDEZ (DNP, APRN, CNM) – Advanced Practice Midwife, NPI 1497580930

ELYSSA MENDEZ (DNP, APRN, CNM) is a healthcare provider. based in Minneapolis, Minnesota. specializing in CERTIFIED NURSE MIDWIFE (CNM). They hold the professional credentials DNP, APRN, CNM. They hold a License No. 601 (MN). The NPI Number for ELYSSA MENDEZ (DNP, APRN, CNM) is 1497580930

Main info

Female
2 Years Of Experience
Accepts Medicare Assignment
Name
ELYSSA MENDEZ (DNP, APRN, CNM)
NPI
1497580930
Phone
(612) 345-5920
Address
3033 EXCELSIOR BLVD
Enumeration Date
4 September 2024
Last Update Date
11 September 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6124730800
Graduation Year
2024 (2 years ago)
PAC ID
0648779504
Group Practice PAC ID
5799681615
Professional Enrollment ID
I20250818002154
Address ID
MN554033747MI1919XAVEX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience26
Completeness75
Years active:1State licenses:1Digital endpointsOther names

251 CERTIFIED NURSE MIDWIFE (CNM) in MN

Provider Addresses for ELYSSA MENDEZ (DNP, APRN, CNM)

  • 3033 EXCELSIOR BLVD

    MINNEAPOLIS, MN 554164688

    Phone: (612) 345-5920

    Mailing address matches the actual address.

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: 2025-08-18

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
I20250818002154ICertified Nurse Midwife (Cnm)MNTBD

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 55416)

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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: 5799681615View full group profile
NameSpecialtyState
Certified Nurse Midwife (Cnm)MN
Nurse PractitionerIL
Nurse PractitionerMN
Certified Nurse Midwife (Cnm)MN
Physician AssistantMN
Nurse PractitionerMN

Reviews

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Frequently asked questions

What identifier follows ELYSSA MENDEZ (DNP, APRN, CNM) across health systems?
The NPI 1497580930 uniquely identifies ELYSSA MENDEZ (DNP, APRN, CNM) in U.S. healthcare data.
Does the public listing show ELYSSA MENDEZ (DNP, APRN, CNM) as active?
ELYSSA MENDEZ (DNP, APRN, CNM)'s NPI record reflects an active status in NPPES.
What type of care does ELYSSA MENDEZ (DNP, APRN, CNM) provide?
ELYSSA MENDEZ (DNP, APRN, CNM)'s profile centers on Advanced Practice Midwife. Clinical services aligned with this taxonomy classification.
Can patients visit ELYSSA MENDEZ (DNP, APRN, CNM) in Minneapolis, Minnesota?
For routing, start with Minneapolis, Minnesota for ELYSSA MENDEZ (DNP, APRN, CNM), then verify phone and hours locally.
Can I export ELYSSA MENDEZ (DNP, APRN, CNM)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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