Jaime R Mendoza (NPI# 1689915811, PAC ID# 3971743345) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1689915811 |
| PAC ID by PECOS | 3971743345 |
| Professional Enrollment ID | I20130708000393 |
| Full Name | Jaime R Mendoza |
| Organization Legal Name | SOUTHERN ILLINOIS ASSOCIATES LLC |
| Address |
16 Junction W Dr Suite 2 Glen Carbon IL 62034-2996 |
| Phone Number | 6182885019 |
| Gender | F |
| Graduation Year | 2012 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 2961489992 |
| Number of Group Practice Members | 5 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 16 Junction W Dr, Suite 2, Glen Carbon, IL 62034-2996 | 6182885019 | SOUTHERN ILLINOIS ASSOCIATES LLC |
| 150 Health Care Dr, Greenville, IL 62246-1161 | 6186649830 | HSHS HOLY FAMILY HOSPITAL INC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_EP_1 | e-Prescribing | 74% | |
| ACI_EC_TRANS_MR_1 | Medication Reconciliation | 9% | |
| ACI_EC_TRANS_PEA_1 | Provide Patient Access | 72% | |
| ACI_EC_TRANS_PEA_2 | View, Download, or Transmit (VDT) | 1% | |
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % | |
| ACI_EC_TRANS_PSE_1 | Patient-Specific Education | 20% | |
| ACI_EC_TRANS_SM_1 | Secure Messaging | 10% | |
| MIPS_EC_128_overall | Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan | 98% | |
| MIPS_EC_130_overall | Documentation of Current Medications in the Medical Record | 100% | |
| MIPS_EC_134_overall | Preventive Care and Screening: Screening for Clinical Depression and Follow-Up Plan | 100% | |
| MIPS_EC_181_overall | Elder Maltreatment Screen and Follow-Up Plan | 99% | |
| MIPS_EC_226_overall | Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention | 100% |
| Organization Legal Name | SOUTHERN ILLINOIS ASSOCIATES LLC |
| Physicians | 4 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Amy Lynn Hemann | Clinical Social Worker | Southern Illinois Associates LLC | 16 Junction W Dr, Suite 2, Glen Carbon, IL 62034-2996 |
| Diana K Jarman | Clinical Social Worker | Southern Illinois Associates LLC | 16 Junction W Dr, Suite 2, Glen Carbon, IL 62034-2996 |
| Sanjay Kumar Nigam | Psychiatry | Southern Illinois Associates LLC | 16 Junction W Dr, Suite 2, Glen Carbon, IL 62034-2996 |
| Street Address |
16 JUNCTION W DR SUITE 2 |
| City | GLEN CARBON |
| State | IL |
| Zip | 62034-2996 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Amy Lynn Hemann | Clinical Social Worker | Southern Illinois Associates LLC | 16 Junction W Dr, Suite 2, Glen Carbon, IL 62034-2996 |
| Diana K Jarman | Clinical Social Worker | Southern Illinois Associates LLC | 16 Junction W Dr, Suite 2, Glen Carbon, IL 62034-2996 |
| Sanjay Kumar Nigam | Psychiatry | Southern Illinois Associates LLC | 16 Junction W Dr, Suite 2, Glen Carbon, IL 62034-2996 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Emily Cottrell | Nurse Practitioner | Granite City Clinic Corp | 4273 S State Route 159, Second Floor, Glen Carbon, IL 62034 |
| Michael J Walter | Critical Care (intensivists) | Granite City Clinic Corp | 4273 S State Route 159, Second Floor, Glen Carbon, IL 62034 |
| Richard C Coy | Chiropractic | Optimum Wellness and Rehabilitation PC | 3407s State Route 157 1, Glen Carbon, IL 62034-1042 |
| Jim Jiantao Hong | Family Medicine | 104 Magnolia Dr, Suite A, Glen Carbon, IL 62034-1595 | |
| Emily A Brueggeman | Chiropractic | 108 Magnolia Dr A, Glen Carbon, IL 62034-1595 | |
| Nikole L Hunter | Chiropractic | Brueggeman Chiropractic Center LLC | 108 Magnolia Dr A, Glen Carbon, IL 62034-1595 |
| Haresh K Motwani | Family Medicine | 27 Auerbach Place, Glen Carbon, IL 62034-1596 | |
| Barton Lynn Blackorby | Ophthalmology | Retina Consultants Ltd | 5 Country Club Executive Park, Glen Carbon, IL 62034-1702 |
| Alisha A White | Internal Medicine | 4 Country Club Executive Park, Glen Carbon, IL 62034-1702 | |
| Ryan J Cleland | Chiropractic | Infinite Wellness Chiropractic Ltd | 220 Evergreen Ln, Unit B, Glen Carbon, IL 62034-1714 |
| Find all physicians in zip 62034 | |||
| City | GLEN CARBON |
| Zip Code | 62034 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | GLEN CARBON + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Jaime R Mendoza.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.