Active NPI
Amanda Mercado, CRNA
- Certified Registered Nurse Anesthetist
- Las Vegas, NV
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 843554
- Practice address
- 7160 Rafael Rivera Way Ste 210
Las Vegas, NV 89113-5395 - Phone
- (702) 878-0070
- Fax
- (702) 209-2064
- NPI assigned
- Jan 11, 2017
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 843554 | NV | Primary |
| Certified Registered Nurse Anesthetist | 367500000X | 4704275264 | MI |
Addresses
Primary practice location
7160 Rafael Rivera Way Ste 210
Las Vegas, NV 89113-5395
Mailing address
PO Box 840857
Dallas, TX 75284-0857
Phone (725) 204-4632
Other practice location 1
370 Norborne Ave
Dearborn Heights, MI 48127-3758
Phone (313) 575-2763
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 78.25 of 100
- Quality
- 74.41
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4704275264 | MI | MD | Certified Registered Nurse Anesthetist |
| 843554 | NV | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Henry Ford Health St. John Hospital | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Superior Anesthetists Associates, Inc. | Current | Accepting new patients | |
| Henry Ford Health St. John Hospital | Current | Accepting new patients | |
| Arizona Anesthesia Consultants, Inc. | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
Locations
7915 Solutions Ctr Dr
Chicago, IL 60677
18100 Oakwood Blvd
Ste 100
Dearborn, MI 48124
Phone (313) 240-7668
22101 Moross Rd
Detroit, MI 48236
Phone (313) 343-3248
4550 Investment Dr
Troy, MI 48098
Phone (248) 265-4600
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.
-
- General Acute Care Hospital
- Chicago, IL
- NPI 1023088168
-
- Certified Registered Nurse Anesthetist
- Detroit, MI
- NPI 1598896995
Nurse Anesthetist, Certified Registered
-
- Specialist
- Troy, MI
- NPI 1831144518
-
- Anesthesiology Physician
- Glendale, AZ
- NPI 1740402940
Nurse Anesthetist, Certified Registered
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1484092800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1659571200000",
"number": "1114463312",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 840857",
"city": "DALLAS",
"state": "TX",
"postal_code": "752840857",
"telephone_number": "725-204-4632",
"fax_number": "702-805-0307"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7160 RAFAEL RIVERA WAY STE 210",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891135395",
"telephone_number": "702-878-0070",
"fax_number": "702-209-2064"
}
],
"practiceLocations": [
{
"address_1": "370 Norborne Ave",
"address_purpose": "LOCATION",
"city": "Dearborn Heights",
"state": "MI",
"postal_code": "481273758",
"country_code": "US",
"telephone_number": "313-575-2763",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MERCADO",
"first_name": "AMANDA",
"name_prefix": "Ms.",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-01-11",
"last_updated": "2022-08-04",
"certification_date": "2022-08-04",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "NV",
"license": "843554",
"primary": true
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "MI",
"license": "4704275264",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Las Vegas, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.