Active NPI 1689682411 Individual Practitioner Female Practitioner

Elizabeth Mendeloff

Nurse Practitioner • Freeport, IL

Professional Overview & Biography Verified Profile Summary

Elizabeth Mendeloff is a registered healthcare professional specializing in Nurse Practitioner in Freeport, IL. Practice services are available at 1010 FAIRWAY DR under active NPI credentials.

Frequently performed procedures and clinical services include established patient outpatient office visit, insertion of needle into vein for collection of blood sample, administration of pneumococcal vaccine. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1010 Fairway Dr

Freeport, IL 610326600

Telephone 8155997950

Associated Practice Facility / Clinic

🏢 Jane Addams Community Mental Health Center Facility NPI 1336623453

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Freeport, IL

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 10.5 Yrs

State Avg: 10.4 Yrs

Regional Practice Density

10 Specialists

Practicing in Freeport, IL (4929 Statewide)

Telehealth Adoption Rate

10.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

51.3% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2021)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	129	81	$185.00	$103.62
36415 Insertion of needle into vein for collection of blood sample	98	69	$25.00	$2.99
99213 Established patient office or other outpatient visit, typically 15 minutes	82	48	$128.05	$74.34
G0009 Administration of pneumococcal vaccine	21	21	$34.00	$16.20
G0008 Administration of influenza virus vaccine	15	15	$25.00	$15.12
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	11	11	$228.00	$123.74
90670 Pneumococcal vaccine for injection into muscle	11	11	$561.00	$241.38

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	123	68	$178.00	$90.77
36415 Insertion of needle into vein for collection of blood sample	104	63	$25.00	$2.97
99213 Established patient office or other outpatient visit, typically 15 minutes	55	39	$121.00	$62.19
G0009 Administration of pneumococcal vaccine	27	27	$34.00	$16.09
G0008 Administration of influenza virus vaccine	20	19	$25.00	$16.14
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	16	16	$228.00	$110.93
90670 Pneumococcal vaccine for injection into muscle	14	14	$561.00	$223.06
90662 Influenza vaccine split virus, preservative free	12	12	$64.75	$60.98

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	131	81	$178.00	$89.55
36415 Insertion of needle into vein for collection of blood sample	59	41	$25.00	$2.89
99213 Established patient office or other outpatient visit, typically 15 minutes	51	37	$121.00	$60.21
G0009 Administration of pneumococcal vaccine	25	25	$34.00	$15.85
90670 Pneumococcal vaccine for injection into muscle	14	14	$561.00	$208.88
G0008 Administration of influenza virus vaccine	14	14	$25.00	$14.80
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	12	12	$164.67	$110.87
90662 Influenza vaccine split virus, preservative free	11	11	$63.82	$49.94

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	135	77	$178.00	$87.22
99213 Established patient office or other outpatient visit, typically 15 minutes	91	62	$115.37	$59.81
36415 Insertion of needle into vein for collection of blood sample	62	43	$25.00	$2.88
G0009 Administration of pneumococcal vaccine	25	25	$32.00	$19.39
G0008 Administration of influenza virus vaccine	16	16	$25.00	$18.18
90670 Pneumococcal vaccine for injection into muscle	14	14	$539.00	$196.65
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	13	13	$127.00	$97.47

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	155	112	$178.00	$86.84
99213 Established patient office or other outpatient visit, typically 15 minutes	129	91	$117.03	$58.78
36415 Insertion of needle into vein for collection of blood sample	59	46	$25.00	$2.94
G0009 Administration of pneumococcal vaccine	31	31	$32.00	$23.77
G0008 Administration of influenza virus vaccine	18	18	$25.00	$23.77
93005 Routine electrocardiogram (ecg) using at least 12 leads with tracing	15	14	$102.00	$7.87
90670 Pneumococcal vaccine for injection into muscle	13	13	$539.00	$188.79
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	11	11	$127.00	$96.87

Medical Specialties & State Licenses

CMS Verified: 2021-09-07

Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License IL 209006109

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Registered Nurse License

041219602 (IL)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners

Madison Pickard , PT

Physical Therapist

NPI 1003334905

Physical Therapist

Dr. Robert Geller , MD

Internal Medicine - Infectious Disease

NPI 1013983212

Doctor of Medicine (M.D.)

Tamisha Bonvillain , FNP-BC

Nurse Practitioner - Family

NPI 1073163838

Family Nurse Practitioner (Board Certified)

Dr. Renu Dosi , MD

Internal Medicine

NPI 1073522140

Doctor of Medicine (M.D.)

Lynda Shiro , FNP-BC

Nurse Practitioner - Family

NPI 1114449519

Family Nurse Practitioner (Board Certified)

Dr. Kevin Draxinger , MD

Orthopaedic Surgery

NPI 1164433926

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

9 Historical Events

📍

Updated Practice Location September 07, 2021

Registered at 1010 FAIRWAY DR, FREEPORT, IL 610326600 (Tel: 8155997950)

📍

Updated Business Mailing Address September 07, 2021

Registered at PO BOX 268, FREEPORT, IL 610320268

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) September 07, 2021

Nurse Practitioner (License #209006109 in IL)

✅

NPI Profile Active October 29, 2007

NPI status registered as active in NPPES database

📍

Updated Practice Location October 29, 2007

Registered at 1221 E STATE ST, ROCKFORD, IL 611042231 (Tel: 8159721000)

📍

Updated Business Mailing Address October 29, 2007

Registered at PO BOX 1567, ROCKFORD, IL 611100067

👤

Provider Name / Credentials Updated October 29, 2007

Recorded as ELIZABETH MENDELOFF

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) October 29, 2007

Nurse Practitioner

🟢

Initial NPI Registration & Enumeration August 04, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1689682411

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: August 04, 2006

Last Update: September 07, 2021

Sole Proprietor: No

Update or Correct Profile

Mailing Address

Po Box 268

Freeport, IL 610320268

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.