MARIA MENDOZA – Family Nurse Practitioner, NPI 1689795072

MARIA MENDOZA is a healthcare provider. based in Minneapolis, Minnesota. specializing in NURSE PRACTITIONER. They hold a License No. 4704240778 (MI). The NPI Number for MARIA MENDOZA is 1689795072

Main info

Female
20 Years Of Experience
Accepts Medicare Assignment
Name
MARIA MENDOZA
NPI
1689795072
Phone
(612) 659-7111
Address
920 2ND AVE S
Enumeration Date
3 April 2007
Last Update Date
15 October 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3138754200
Graduation Year
2006 (20 years ago)
PAC ID
8022113232
Group Practice PAC ID
1052380201
Professional Enrollment ID
I20070417000520
Address ID
MI482022612DE2888XBLVD400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness75
Years active:19State licenses:1Digital endpointsOther names

5,720 NURSE PRACTITIONER in MN

Provider Addresses for MARIA MENDOZA

  • 920 2ND AVE S

    SUITE 400

    MINNEAPOLIS, MN 554023318

    Phone: (612) 659-7111

    Fax: (612) 659-7101

    Type: Mailing

  • 46156 WOODWARD AVE

    PONTIAC, MI 483425033

    Phone: (248) 897-0900

    Type: Location

  • 920 2nd Ave S

    Suite 400

    Minneapolis, MN 554023318

    Phone: (612) 659-7111

    Fax: (612) 659-7101

    Type: Location

  • 4212 RAMSGATE LN

    BLOOMFIELD HILLS, MI 483021635

    Phone: (612) 659-7111

    Fax: (612) 659-7101

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 4 Open Payments records for all available years, with a total value of $86.

Total Amount is formed as General ($86) + Research ($0) + Ownership ($0) = $86.

Last reported payment date: 2024-09-20 • Largest payer in this snapshot: ABBVIE INC. ($40).

Total Amount

$86

General + Research + Ownership

Payments

4

Total payment records

General Amount

$86

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-09-20

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: 2007-04-17

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
I20070417000520INurse PractitionerMITBD

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 55402)

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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: 1052380201View full group profile
NameSpecialtyState
Clinical Social WorkerMI
Nurse PractitionerMI
Nurse PractitionerMI
Family PracticeMD
O B S T E T R I C S/ G Y N E C O L O G YMI
Nurse PractitionerMI
Internal MedicineMI

Reviews

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Frequently asked questions

Can I cross-check MARIA MENDOZA using NPI 1689795072?
NPI 1689795072 belongs to MARIA MENDOZA; compare other details if you need extra assurance.
Is MARIA MENDOZA shown as active in public data?
Registry records indicate MARIA MENDOZA maintains an active NPI.
How would a patient describe MARIA MENDOZA's focus?
For MARIA MENDOZA, the primary taxonomy reads as Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What practice footprint exists for MARIA MENDOZA?
Travel planning: use Minneapolis, Minnesota as the reference point for MARIA MENDOZA, then confirm.
What does 5 location(s) imply?
5 practice locations appear in the available data.

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