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Active NPI 1861769598 Individual Practitioner Male Practitioner

Pedro Alberto Mendoza , AGACNP

Nurse Practitioner • Cody, WY

✓ Accepts Medicare Assignment
Public Directory Information & Medical Disclaimer

This profile is compiled from official public domain records provided by CMS and the NPPES registry. TRUE-MEDINFO is an independent reference directory and does not provide medical advice, diagnosis, or treatment recommendations. Always consult a licensed medical professional for personal health decisions.

Professional Overview & Biography Verified Profile Summary

Pedro Mendoza, AGACNP is a registered Nurse Practitioner practitioner in Cody, WY. With approximately 11 years of clinical practice since completing medical education in 2015, Pedro Mendoza provides healthcare services at the registered practice location at 707 SHERIDAN AVE.

Pedro Mendoza maintains professional affiliations with West Park Hospital District, Cogent Healthcare Of Texas Pa and accepts Medicare assignment.

Frequently performed procedures and clinical services include critical care, first, subsequent hospital care with moderate levelof medical decision making, if using time, at least, initial hospital care with moderate level of medical decision making, if using time, at least. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

707 Sheridan Ave

Cody, WY 824143409

Telephone 3075277501
Associated Practice Facility / Clinic
🏢 Yellowstone Radiology Pc Facility NPI 1376536763

Medicare Profile & Education

Medical School

Other

Graduation Year

2015

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Cody, WY

Established Specialist (10-20 Yrs)
Practitioner Clinical Experience
11 Yrs +1.4 yrs vs City Avg
City Avg: 9.6 Yrs
State Avg: 10.6 Yrs
Regional Practice Density
6 Specialists

Practicing in Cody, WY (113 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
80.8% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Mendoza (11 Years) 11 Yrs
Cody Specialty Average (9.6 Years) 9.6 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99291 Critical care, first 30-74 minutes
64 32 $1351.08 $192.07
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes
34 23 $180.00 $65.11
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes
16 13 $337.00 $101.26

Medical Specialties & State Licenses

CMS Verified: 2025-03-25
Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License TX AP120223

(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.

Registered Nurse

NUCC Taxonomy Code: 163W00000X

State License TX 705297

(1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span.

Nurse Practitioner - Acute Care

NUCC Taxonomy Code: 363LA2100X

State License CT 222969

Definition to come...

Nurse Practitioner - Acute Care

NUCC Taxonomy Code: 363LA2100X

State License CA 95023815

Definition to come...

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Rn License
705297 (TX)
Commercial Insurance / Payer ID Nurse Practitioner License
AP120223 (TX)
Commercial Insurance / Payer ID Nurse Practitioner License
222969 (CT)
Commercial Insurance / Payer ID Acnp
95023815 (CA)

Hospital & Practice Group Affiliations

Cogent Healthcare Of Texas Pa

8200 Walnut Hill Ln, Dallas, TX 752314402

Phone: 2143456789

West Park Hospital District

707 Sheridan Ave, Cody, WY 824143409

Phone: 3075277501

Secondary Practice Locations

505 Parnassus Ave

San Francisco, CA 941432204

Phone: 4154761000

20 York St

New Haven, CT 065103220

Phone: 9152742868

Practice Associates & Co-Workers

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

26 Associated Practitioners
Fred Snelson

Counselor - Addiction (Substance Use Disorder)

NPI 1043469620
Kathryn Carter , NP

Nurse Practitioner - Pediatrics, Critical Care

NPI 1205342029

Nurse Practitioner

Dr. Charles Polley , MD

Emergency Medicine

NPI 1215028642

Doctor of Medicine (M.D.)

Elizabeth Matey , NP

Nurse Practitioner - Family

NPI 1245960335

Nurse Practitioner

Brent Mcallister , CRNA

Nurse Anesthetist, Certified Registered

NPI 1265941306

Certified Registered Nurse Anesthetist

Dr. Kirk Bollinger , MD

Emergency Medicine

NPI 1285725655

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

11 Historical Events
📍
Updated Practice Location March 25, 2025

Registered at 707 SHERIDAN AVE, CODY, WY 824143409 (Tel: 3075277501)

📍
Updated Practice Location September 04, 2024

Registered at 20 YORK ST, NEW HAVEN, CT 065103220 (Tel: 9152742868)

👤
Provider Name / Credentials Updated September 04, 2024

Recorded as PEDRO MENDOZA, AGACNP

📍
Updated Practice Location April 04, 2024

Registered at 1201 FAIRMOUNT AVE, FORT WORTH, TX 761044215 (Tel: 8173355288)

📍
Updated Business Mailing Address April 04, 2024

Registered at 8608 SPINDLETOP DR, FORT WORTH, TX 761202001 (Tel: 9152742868)

NPI Profile Active November 23, 2011

NPI status registered as active in NPPES database

📍
Updated Practice Location November 23, 2011

Registered at 8557 RESEARCH BLVD, STE 128, AUSTIN, TX 787587856 (Tel: 5128367399)

📍
Updated Business Mailing Address November 23, 2011

Registered at 3838 LOCKHILL SELMA RD APT 212, SAN ANTONIO, TX 782301569

👤
Provider Name / Credentials Updated November 23, 2011

Recorded as PEDRO MENDOZA, F.N.P.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 23, 2011

Registered Nurse (License #705297 in TX)

🟢
Initial NPI Registration & Enumeration November 23, 2011

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1861769598
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 23, 2011
Last Update: March 25, 2025
Sole Proprietor: No

Mailing Address

8608 Spindletop Dr

Fort Worth, TX 761202001

Phone: 9152742868

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.