SHELLY JO MENDOZA (SLP) – Speech-Language Pathologist, NPI 1336455732
Speech-Language Pathologist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
100 QUALIFIED SPEECH LANGUAGE PATHOLOGIST in OR
Provider Addresses for SHELLY JO MENDOZA (SLP)
3270 LIBERTY RD S
SALEM, OR 97302
Phone: (503) 371-0779
Fax: (503) 371-0886
Type: Mailing
490 NORTH SECOND STREET
SUITE C
COOS BAY, OR 974202370
Phone: (541) 267-5221
Fax: (541) 267-5222
Type: Location
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.
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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: 2015-06-24
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 |
|---|---|---|---|---|
| I20150624002675 | I | Qualified Speech Language Pathologist | OR | 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 |
|---|---|---|---|---|
| 92507 | Treatment of speech, language, voice, communication, and/or hearing processing disorder | 252 | 24 | $0 |
Insurance plans in this area (ZIP 97302)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| QUALIFIED SPEECH LANGUAGE PATHOLOGI | OR | 92507 | Treatment of speech, language, voice, communication, and/or hearing processing disorder | 139 | 17 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Physical Therapist In Private Practice | OR | |
| Physical Therapist In Private Practice | OR | |
| Physical Therapist In Private Practice | OR | |
| - | OR | |
| Physical Therapist In Private Practice | MD | |
| Qualified Speech Language Pathologist | CA | |
| Occupational Therapist In Private Practice | OR | |
| Physical Therapist In Private Practice | CA | |
| Occupational Therapist In Private Practice | OR | |
| Physical Therapist In Private Practice | NV |
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