MELANIE LYNN MENDOZA (FNP) – Family Nurse Practitioner, NPI 1508912502

MELANIE LYNN MENDOZA (FNP) is a healthcare provider. based in Tyler, Texas. specializing in Family Nurse Practitioner. They hold the professional credentials FNP. They hold a License No. AP133402 (TX). The NPI Number for MELANIE LYNN MENDOZA (FNP) is 1508912502

Main info

Female
36 Years Of Experience
Accepts Medicare Assignment
Name
MELANIE LYNN MENDOZA (FNP)
NPI
1508912502
Phone
(903) 593-1721
Address
CHRISTUS TRINITY CLINIC
Enumeration Date
25 January 2007
Last Update Date
4 June 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9035101186
Graduation Year
1990 (36 years ago)
PAC ID
2062501794
Group Practice PAC ID
3072426741
Professional Enrollment ID
I20170525002617
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

Provider Addresses for MELANIE LYNN MENDOZA (FNP)

  • CHRISTUS TRINITY CLINIC

    520 E. DOUGLAS BLVD.

    TYLER, TX 75702

    Phone: (903) 593-1721

    Fax: (903) 525-1259

    Type: Location

  • 520, East Douglas Boulevard, Tyler, Smith County, Texas, 75702, United States

    TYLER, TX 75702

    Phone: (903) 593-1721

    Type: Mailing

  • 3020 YASMEEN CIR

    FLINT, TX 757626736

    Phone: (615) 512-8169

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 11 Open Payments records for all available years, with a total value of $1,110.

Total Amount is formed as General ($1,110) + Research ($0) + Ownership ($0) = $1,110.

Last reported payment date: 2024-12-10 • Largest payer in this snapshot: Axonics, Inc. ($134).

Total Amount

$1,110

General + Research + Ownership

Payments

11

Total payment records

General Amount

$1,110

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-10

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: 2017-05-25

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
I20170525002617INurse PractitionerTXTBD

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 75702)

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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: 3072426741View full group profile
NameSpecialtyState
General SurgeryAZ
Internal MedicineTX
Nurse PractitionerTX
Nurse PractitionerTX
-TX
E N D O C R I N O L O G YTX
Nurse PractitionerIL
-NC
Physician AssistantLA
Hospitalist, GastroenterologyTX

Reviews

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Frequently asked questions

How is MELANIE LYNN MENDOZA (FNP) identified in CMS data?
CMS-hosted NPPES data lists MELANIE LYNN MENDOZA (FNP) with NPI 1508912502.
Can I rely on MELANIE LYNN MENDOZA (FNP) being an active provider?
As of the registry snapshot, MELANIE LYNN MENDOZA (FNP) is marked active.
What is MELANIE LYNN MENDOZA (FNP) best known for clinically?
Directory data describes MELANIE LYNN MENDOZA (FNP) with Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where should I expect MELANIE LYNN MENDOZA (FNP) on a map?
Expect Tyler, Texas as a primary anchor for MELANIE LYNN MENDOZA (FNP) unless the record lists multiple sites.
How many locations tie to this NPI?
4 practice locations appear in the available data.

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