Active NPI
Elizma Eksteen Mercier, PHYSICIAN ASSISTANT
- Medical Physician Assistant
- Gainesville, FL
National Provider Identifier
1003030289
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- PA9103884
- Practice address
- 5612 NW 43Rd St
Gainesville, FL 32653-3332 - Phone
- (352) 376-4542
- NPI assigned
- Apr 12, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | PA9103884 | FL | Primary |
Addresses
Primary practice location
5612 NW 43Rd St
Gainesville, FL 32653-3332
Mailing address
10012 SW 93Rd PL
Gainesville, FL 32608-5993
Phone (352) 495-0844
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| O9719 | Other | FL | HF MA |
| 114127200 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA9103884 | FL | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Privia Medical Group Florida, LLC | Past | Accepting new patients |
Interoperability endpoints
- https://epicproxy.et1426.epichosted.com/FHIRProxyPRD/api/FHIR/R4
- https://api.platform.athenahealth.com/3681/brand/8/csg/121/fhir/r4
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- General Practice Physician
- Indialantic, FL
- NPI 1700649043
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176336000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1653004800000",
"number": "1003030289",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10012 SW 93RD PL",
"city": "GAINESVILLE",
"state": "FL",
"postal_code": "326085993",
"telephone_number": "352-495-0844"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5612 NW 43RD ST",
"city": "GAINESVILLE",
"state": "FL",
"postal_code": "326533332",
"telephone_number": "352-376-4542"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MERCIER",
"first_name": "ELIZMA",
"middle_name": "EKSTEEN",
"name_prefix": "Mrs.",
"credential": "PHYSICIAN ASSISTANT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-04-12",
"last_updated": "2022-05-20",
"certification_date": "2022-05-20",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "FL",
"license": "PA9103884",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HF MA",
"identifier": "O9719",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "114127200",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Gainesville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.