Individual ProviderLorianne Nieves MendezNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address5500 Little Rd, New Port Richey, FL 34655-1105(727) 372-1005(787) 214-2533PECOS EnrollmentBased on the most recent information from CMS, provider Lorianne Nieves Mendez is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records yesterday at 9:24 AM.Profile DetailsProvider ID1609501030Provider TypeIndividualFull NameNieves Mendez, LorianneTitleMs.CredentialAPRNGenderFemaleSole ProprietorYesEnumeration Date7/20/2022Last Updated1/12/2023Contact InformationPractice LocationPractice Address5500 Little Rd, New Port Richey, FL 34655-1105Phone(727) 372-1005Fax(727) 372-1009Mailing LocationMailing Address1972 Railroad Vine Dr, Odessa, FL 33556-4542Phone(787) 214-2533FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode363LF0000XPrimaryDescriptionNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersLicenseAPRN11019491FloridaCode363LF0000XDescriptionNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersLicenseRN9597059Florida