Individual provider Active NPI

Kelly Ann Mercado, CRNP

  • Family Nurse Practitioner
  • Silver Spring, MD
National Provider Identifier
1013266808
Registry record updated Sep 7, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R162955 Issued in MD
Practice address
10801 Lockwood Dr
Suite 200
Silver Spring, MD 20901-1556
Phone
(301) 593-2002
NPI assigned
Sep 7, 2012
Last updated
Sep 7, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 7, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X R162955 MD Primary

Addresses

Primary practice location

10801 Lockwood Dr
Suite 200
Silver Spring, MD 20901-1556

Mailing address

12915 Wheatridge Ter
Germantown, MD 20874-6308
Phone (301) 528-6125

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20131023000597 DC Practitioner - Nurse Practitioner 6002041357 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Capital Digestive Care LLCGroup PAC ID 3870669419, 241 clinicians

Practice addresses (Care Compare)

14955 Shady Grove Rd
Suite 150
Rockville, MD 20850-8725
Phone (301) 340-3252

2021 K St NW
Suite T 110 Metroploitan Gastroenterology
Washington, DC 20061-1036
Phone (202) 296-3449

20528 Boland Farm Rd
Suite 201
Germantown, MD 20876-4038
Phone (301) 593-2002

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Capital Digestive Care, LLC CurrentSince Aug 17, 2013 Accepting new patients
Capital Digestive Care LLC CurrentSince Aug 17, 2013 Accepting new patients
Endoscopy Center of Washington DC LP Current Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
David a. Morowitz Past Accepting new patients
Capital Digestive Care ,LLC Past Accepting new patients
Capital Digestive Care ,LLC Past Accepting new patients

Locations

2000 Pennsylvania Ave NW
Ste 3010
Washington, DC 20006
Phone (202) 296-3449

5550 Friendship Blvd
Ste T90
Chevy Chase, MD 20815
Phone (301) 654-2521

5500 Knoll North Dr
Ste 460
Columbia, MD 21045
Phone (410) 730-9363

20528 Boland Farm Rd
Ste 201
Germantown, MD 20876
Phone (301) 593-2002

3280 Urbana Pike
Ste 101
Ijamsville, MD 21754
Phone (301) 810-5252

7350 Van Dusen Rd
Ste 210
Laurel, MD 20707
Phone (301) 395-5500

3415 Olandwood Ct
Ste 101
Olney, MD 20832
Phone (301) 340-3252

125 Potomac Psge
Ste 250
Oxon Hill, MD 20745
Phone (240) 238-0067

6100 Executive Blvd
Ste 301
Rockville, MD 20852

15001 Shady Grove Rd
Ste 300
Rockville, MD 20850
Phone (301) 340-3252

15005 Shady Grove Rd
Ste 350
Rockville, MD 20850
Phone (240) 631-7900

9711 Medical Center Dr
Ste 308
Rockville, MD 20850
Phone (301) 251-0015

11921 Bournefield Way
Ste 100
Silver Spring, MD 20904
Phone (240) 737-0080

12510 Prosperity Dr
Ste 200
Silver Spring, MD 20904
Phone (240) 485-5200

10801 Lockwood Dr
Ste 200
Silver Spring, MD 20901
Phone (301) 593-2002

Interoperability endpoints

  • Direct secure messaging: kelly.mercado.capitaldigestivecare@directaddress.net

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1346976000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1346976000000",
    "number": "1013266808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12915 WHEATRIDGE TER",
            "city": "GERMANTOWN",
            "state": "MD",
            "postal_code": "208746308",
            "telephone_number": "301-528-6125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10801 LOCKWOOD DR",
            "address_2": "SUITE 200",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209011556",
            "telephone_number": "301-593-2002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MERCADO",
        "first_name": "KELLY",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-09-07",
        "last_updated": "2012-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R162955",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Silver Spring, MD

Sources for this page

Verify at the official NPI Registry.