Individual provider Active NPI

Heather Nicole Mercer, DO

  • Family Medicine Physician
  • Tulsa, OK
National Provider Identifier
1104455765
Registry record updated Aug 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
7384 Issued in OK
Practice address
14002 E. 21St St.
Suite 1130
Tulsa, OK 74134
Phone
(918) 439-1500
Fax
(918) 439-1199
NPI assigned
Apr 6, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 24, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 7384 OK Primary

Addresses

Primary practice location

14002 E. 21St St.
Suite 1130
Tulsa, OK 74134

Mailing address

1334 N Lansing Ave
Tulsa, OK 74106-5907
Phone (918) 587-2171

Other names 1

  • Heather Martin Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230717003340 OK Practitioner - Family Practice 1557721958 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Oklahoma State University College of Osteopathic Medicine, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Morton Comprehensive Health Services IncGroup PAC ID 1951297621, 29 clinicians

Practice addresses (Care Compare)

1334 N Lansing Ave
Tulsa, OK 74106-5907
Phone (918) 587-2171

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
7384OKMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Morton Comprehensive Health Services, Inc CurrentSince Jul 3, 2023 Accepting new patients
Morton Comprehensive Health Services, Inc Family Medicine CurrentSince Jul 3, 2023 Accepting new patients
Morton Comprehensive Health Services, Inc Family Medicine Current Accepting new patients
Morton Comprehensive Health Services, Inc Past Accepting new patients

Locations

1334 N Lansing Ave
Tulsa, OK 74106

Interoperability endpoints

  • Direct secure messaging: heather.mercer@mchs.eclinicaldirectplus.com

Organizations & group practices 4

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": "1586131200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692835200000",
    "number": "1104455765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1334 N LANSING AVE",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741065907",
            "telephone_number": "918-587-2171",
            "fax_number": "918-587-4534"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14002 E. 21ST ST.",
            "address_2": "SUITE 1130",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "74134",
            "telephone_number": "918-439-1500",
            "fax_number": "918-439-1199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MERCER",
        "first_name": "HEATHER",
        "middle_name": "NICOLE",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-04-06",
        "last_updated": "2023-08-24",
        "certification_date": "2023-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OK",
            "license": "7384",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HEATHER",
            "last_name": "MARTIN",
            "credential": "DO",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Tulsa, OK

Sources for this page

Verify at the official NPI Registry.