EMILY LINDSAY MENDOLLA – Nurse Practitioner, NPI 1013632579

EMILY LINDSAY MENDOLLA is a healthcare provider. based in Mount juliet, Tennessee. specializing in NURSE PRACTITIONER. They hold a License No. 32753 (TN). The NPI Number for EMILY LINDSAY MENDOLLA is 1013632579

Main info

Female
4 Years Of Experience
Accepts Medicare Assignment
Name
EMILY LINDSAY MENDOLLA
NPI
1013632579
Phone
(303) 513-6062
Address
1814 COLBY RD
Enumeration Date
7 October 2022
Last Update Date
15 October 2024

Doctor Profile

Medical School Name
VANDERBILT UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
3034214161
Graduation Year
2022 (4 years ago)
PAC ID
1658748017
Group Practice PAC ID
5294733861
Professional Enrollment ID
I20241007002241
Address ID
CO800332112WH4800XSTXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience44
Completeness75
Years active:3State licenses:2Digital endpointsOther names

10,664 NURSE PRACTITIONER in TN

Provider Addresses for EMILY LINDSAY MENDOLLA

  • 1814 COLBY RD

    MOUNT JULIET, TN 371224180

    Phone: (303) 513-6062

    Type: Mailing

  • 12650 W 64TH AVE # E501

    ARVADA, CO 800043893

    Phone:

    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 $30.

Total Amount is formed as General ($30) + Research ($0) + Ownership ($0) = $30.

Last reported payment date: 2024-03-07 • Largest payer in this snapshot: ABBVIE INC. ($30).

Total Amount

$30

General + Research + Ownership

Payments

1

Total payment records

General Amount

$30

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-03-07

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
ABBVIE INC.$30
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: 2024-10-07

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
I20241007002241INurse PractitionerCOTBD

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 37122)

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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: 5294733861View full group profile
NameSpecialtyState
Nurse PractitionerCO
Nurse PractitionerCO
Nurse PractitionerCO
Physician AssistantCO
Nurse PractitionerCO
Nurse PractitionerCO
Nurse PractitionerCO
Geriatric MedicineCO
Nurse PractitionerCO
Nurse PractitionerCO

Reviews

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Frequently asked questions

Can I verify EMILY LINDSAY MENDOLLA with an NPI only?
You can start verification with NPI 1013632579 for EMILY LINDSAY MENDOLLA, then check state licensing separately.
Does CMS list EMILY LINDSAY MENDOLLA as active?
Yes — EMILY LINDSAY MENDOLLA is active in the NPI listing used on this page.
What is EMILY LINDSAY MENDOLLA's specialty?
The listing groups EMILY LINDSAY MENDOLLA with Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What area does EMILY LINDSAY MENDOLLA serve?
EMILY LINDSAY MENDOLLA's listing highlights Mount Juliet, Tennessee; more addresses can appear in NPPES.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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