Jasmine L Mendoza, is a
Nurse Practitioner - Family physician based in Freeport, Illinois. Jasmine L Mendoza is licensed to practice in Illinois (license number 209034154) and her current practice location is 2946 S Walnut Rd, Freeport, Illinois. She can be reached at her office (for appointments etc.) via phone at
(815) 235-6173.
NPI number for Jasmine L Mendoza is 1154284057 and her current mailing address is 2946 S Walnut Rd, Freeport, Illinois. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1154284057.
Physician's Profile
| Full Name | Jasmine L Mendoza |
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| Gender | Female |
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| Speciality | Nurse Practitioner - Family |
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| Location | 2946 S Walnut Rd, Freeport, Illinois |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1154284057
- Provider Enumeration Date: 12/08/2025
- Last Update Date: 02/03/2026
Medical Identifiers
Medical identifiers for Jasmine L Mendoza such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1154284057 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 208D00000X | General Practice | 209.034154 (Illinois) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 209034154 (Illinois) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jasmine L Mendoza is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Jasmine L Mendoza, 2946 S Walnut Rd, Freeport, IL 61032-9528 Ph: () - | Jasmine L Mendoza, 2946 S Walnut Rd, Freeport, IL 61032-9528 Ph: (815) 235-6173 |
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