Individual provider Active NPI

Fanny Jacqueline Mera, WHNP-BC

  • Women's Health Nurse Practitioner
  • New York, NY
National Provider Identifier
1053635003
Registry record updated Mar 19, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
F420960-1 Issued in NY
Practice address
145 Chambers St
New York, NY 10007-1318
Phone
(212) 227-2294
Fax
(212) 227-0355
NPI assigned
Mar 19, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Women's Health Nurse Practitioner 363LW0102X F420960-1 NY Primary

Addresses

Primary practice location

145 Chambers St
New York, NY 10007-1318

Mailing address

145 Chambers St
New York, NY 10007-1318
Phone (212) 227-2294

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20171004003582 NY Practitioner - Nurse Practitioner 4981979721 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
F420960-1NYMDWomen's Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Planned Parenthood Hudson Peconic Inc. CurrentSince Aug 2, 2017 Accepting new patients
Tribeca OBGYN PC Past Accepting new patients
Planned Parenthood HP Past Accepting new patients

Locations

570 Taxter Rd
Ste 250
Elmsford, NY 10523

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678

Interoperability endpoints

  • Direct secure messaging: fmera679459@nychhc.direct-ci.com

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1268956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1268956800000",
    "number": "1053635003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "145 CHAMBERS ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100071318",
            "telephone_number": "212-227-2294",
            "fax_number": "212-227-0355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "145 CHAMBERS ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100071318",
            "telephone_number": "212-227-2294",
            "fax_number": "212-227-0355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MERA",
        "first_name": "FANNY",
        "middle_name": "JACQUELINE",
        "credential": "WHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-03-19",
        "last_updated": "2010-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "NY",
            "license": "F420960-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.