Individual provider Active NPI

Mercedes Caridad Acosta, ARNP

  • Adult Health Nurse Practitioner
  • Fort Myers, FL
National Provider Identifier
1083016737
Registry record updated Nov 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
ARNP9264259 Issued in FL
Practice address
4790 Barkley Cir Ste a
Fort Myers, FL 33907-7593
Phone
(239) 275-8882
Fax
(239) 275-6304
NPI assigned
Sep 24, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X ARNP9264259 FL Primary

Addresses

Primary practice location

4790 Barkley Cir Ste a
Fort Myers, FL 33907-7593

Mailing address

4790 Barkley Cir Ste a
Fort Myers, FL 33907-7593
Phone (239) 275-8882

Other identifiers 1

IdentifierTypeStateIssuer
013464900MedicaidFL

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address clinical@giaswfl.directbygreenway.com Direct Gastroenterology Associates of Southwest Florida LLC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20150126000619 FL Practitioner - Nurse Practitioner 9830413731 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
Group practices

Practice addresses (Care Compare)

1303 SE 8TH Ter
Cape Coral, FL 33990-3306
Phone (239) 458-0822

4790 Barkley Cir
Suite a
Fort Myers, FL 33907-7593
Phone (239) 275-8882

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

Interoperability endpoints

  • Direct secure messaging: mercedes.acosta@ud.eclinicaldirectplus.com

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.

Hospital & facility affiliations 3

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": "1411516800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1083016737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4790 BARKLEY CIR STE A",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339077593",
            "telephone_number": "239-275-8882",
            "fax_number": "239-275-6304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4790 BARKLEY CIR STE A",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339077593",
            "telephone_number": "239-275-8882",
            "fax_number": "239-275-6304"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ACOSTA",
        "first_name": "MERCEDES",
        "middle_name": "CARIDAD",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-09-24",
        "last_updated": "2023-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "FL",
            "license": "ARNP9264259",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "013464900",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "clinical@giaswfl.directbygreenway.com",
            "affiliation": "Y",
            "endpointDescription": "Direct Message Address",
            "affiliationName": "Gastroenterology Associates of Southwest Florida LLC",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "4790 Barkley Cir Ste A",
            "city": "Fort Myers",
            "state": "FL",
            "country_code": "US",
            "postal_code": "339077593",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Fort Myers, FL

Sources for this page

Verify at the official NPI Registry.