Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Monica Jazmine Mendoza

Individual provider Physician Assistant · NPI 1962146498

Monica Jazmine Mendoza is a Physician Assistant in Walla Walla, Washington. Qualified in 2022, 4 years ago. Practices with Providence Health and Services - Washington, a 264-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Washington.

Years since qualifying
4
Licensed in
WA
In the registry since
2022
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Practice location Address checks out

380 Chase Ave
Walla Walla, WA 99362-2924
Phone: (509) 897-5836
Fax: (509) 897-5743
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA61302924 (WA)

Record details

NPI number1962146498
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedApril 21, 2022
Last updated in NPPESSeptember 5, 2024
Certification dateSeptember 5, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Providence Health And Services - Washington — 264 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Walla Walla