Individual provider Active NPI

Sara Wallenius Mertz, A/GNP

  • Nurse Practitioner
  • Asheville, NC
National Provider Identifier
1124063300
Registry record updated Mar 29, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
5005118 Issued in NC
Practice address
286 Overlook Rd
Asheville, NC 28803-3317
Phone
(828) 213-8442
NPI assigned
Jun 19, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2019

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 200950150NP OR
Gerontology Nurse Practitioner 363LG0600X 99007553N4 OR
Nurse Practitioner 363L00000X 5005118 NC Primary

Addresses

Primary practice location

286 Overlook Rd
Asheville, NC 28803-3317

Mailing address

501 Biltmore Ave Ste G276.10
Asheville, NC 28801-4601
Phone (828) 213-4502

Other practice location 1

501 Biltmore Ave Ste G276.10
Asheville, NC 28801-4601
Phone (828) 213-4502

Other identifiers 1

IdentifierTypeStateIssuer
292676MedicaidOR

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20140428001772 NC Practitioner - Nurse Practitioner 4880731843 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5005118NCMDNurse Practitioner
200950150NPORMDAdult Health Nurse Practitioner
99007553N4ORMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Western North Carolina Community Health Services, Inc. CurrentSince Feb 24, 2014 Accepting new patients
Western North Carolina Community Health Services, Inc. CurrentSince Feb 24, 2014 Accepting new patients
Western North Carolina Community Health Services Inc. Current Accepting new patients
Elderhealth & Living, Corporation PastSince Aug 1, 2006 Accepting new patients
TSL Springfield Operating, LLC PastSince Jul 27, 2020 Accepting new patients
Mission Medical Associates, Inc Past Accepting new patients

Locations

257 Biltmore Ave
Asheville, NC 28801
Phone (828) 285-0622

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/11162/brand/1/csg/1/fhir/r4

Organizations & group practices 6

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": "1150675200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1553817600000",
    "number": "1124063300",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 BILTMORE AVE STE G276.10",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "288014601",
            "telephone_number": "828-213-4502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "286 OVERLOOK RD",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "288033317",
            "telephone_number": "828-213-8442"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "501 Biltmore Ave Ste G276.10",
            "address_purpose": "LOCATION",
            "city": "Asheville",
            "state": "NC",
            "postal_code": "288014601",
            "country_code": "US",
            "telephone_number": "828-213-4502",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MERTZ",
        "first_name": "SARA",
        "middle_name": "WALLENIUS",
        "credential": "A/GNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-19",
        "last_updated": "2019-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "OR",
            "license": "200950150NP",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "OR",
            "license": "99007553N4",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NC",
            "license": "5005118",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "292676",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Asheville, NC

Sources for this page

Verify at the official NPI Registry.