MS. MYRA MENDOZA (BSN, RN, MSN, AGACNP) – Nurse Practitioner, NPI 1780313049

MS. MYRA MENDOZA (BSN, RN, MSN, AGACNP) is a healthcare provider. based in Twinsburg, Ohio. specializing in NURSE PRACTITIONER. They hold the professional credentials BSN, RN, MSN, AGACNP. They hold a License No. APRN.CNP.0031345 (OH). The NPI Number for MS. MYRA MENDOZA (BSN, RN, MSN, AGACNP) is 1780313049

Main info

Female
4 Years Of Experience
Accepts Medicare Assignment
Name
MS. MYRA MENDOZA (BSN, RN, MSN, AGACNP)
NPI
1780313049
Phone
(216) 956-9564
Address
1354 GILL CT
Enumeration Date
9 June 2022
Last Update Date
6 November 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2167787800
Graduation Year
2022 (4 years ago)
PAC ID
4789065277
Group Practice PAC ID
8628982949
Professional Enrollment ID
I20220714002395
Address ID
OH441091900CL2500XDRXX300

Contacts

Main Contact
EPIC
Secure Messaging
mmendoza227317@direct.metrohealth.org
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience40
Completeness85
Years active:3State licenses:1Other namesUpdated within 12 months

14,984 NURSE PRACTITIONER in OH

Provider Addresses for MS. MYRA MENDOZA (BSN, RN, MSN, AGACNP)

  • 1354 GILL CT

    TWINSBURG, OH 440871099

    Phone: (216) 956-9564

    Type: Mailing

  • 2500 METROHEALTH DR

    CLEVELAND, OH 441091900

    Phone: (216) 956-9564

    Type: Mailing

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 $132.

Total Amount is formed as General ($132) + Research ($0) + Ownership ($0) = $132.

Last reported payment date: 2023-09-13 • Largest payer in this snapshot: Inspire Medical Systems, Inc. ($132).

Total Amount

$132

General + Research + Ownership

Payments

1

Total payment records

General Amount

$132

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-09-13

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: 2022-07-14

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
I20220714002395INurse PractitionerOHTBD

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
99214Established patient office or other outpatient visit, 30-39 minutes1414$0
View full utilization report →

Insurance plans in this area (ZIP 44087)

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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: 8628982949View full group profile
NameSpecialtyState
-OH
-OH
Plastic And Reconstructive Surgery, Maxillofacial SurgeryOH
Cardiovascular Disease (Cardiology)OH
Emergency MedicineIN
Nurse PractitionerOH
-OH
Cardiovascular Disease (Cardiology), Internal MedicineOH
-OH
-VA

Reviews

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Frequently asked questions

What is MS. MYRA MENDOZA (BSN, RN, MSN, AGACNP)'s NPI number?
MS. MYRA MENDOZA (BSN, RN, MSN, AGACNP)'s NPI is 1780313049 — the number used across U.S. healthcare to identify this provider.
Is there an active status for MS. MYRA MENDOZA (BSN, RN, MSN, AGACNP)?
For scheduling context, MS. MYRA MENDOZA (BSN, RN, MSN, AGACNP) is shown as active in the registry.
How would a patient describe MS. MYRA MENDOZA (BSN, RN, MSN, AGACNP)'s focus?
For MS. MYRA MENDOZA (BSN, RN, MSN, AGACNP), the primary taxonomy reads as Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Is MS. MYRA MENDOZA (BSN, RN, MSN, AGACNP) associated with Twinsburg?
Public fields place MS. MYRA MENDOZA (BSN, RN, MSN, AGACNP) around Twinsburg, Ohio. Always confirm the exact site before visiting.
When was this NPI issued?
Enumeration for MS. MYRA MENDOZA (BSN, RN, MSN, AGACNP) is noted as June 9, 2022 where the registry provides it.

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