Tara Mersino

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

1-176811 Issued in AL

Practice address

122 N 20TH St BLDG 24
Opelika, AL 36801-5442

Phone

(334) 745-4646

NPI assigned

Jul 3, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AL

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

Specialty

Nurse Practitioner

Education

Other, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Family Medicine Associates of East Alabama P C.Group PAC ID 4880614288, 5 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• The East Alabama Healthcare Authority Hospital, Opelika, AL, CCN 010029

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: tara.mersino.1@20664.direct.athenahealth.com
• FHIR API: https://api.platform.athenahealth.com/20664/brand/1/csg/1/fhir/r4

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.

• Family Medicine Associates of East Alabama P C

  • Family Medicine Physician
  • Opelika, AL
  • NPI 1588726616
  Medicare reassignment Care Compare group NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• The East Alabama Health Care Authority

  • General Acute Care Hospital
  • Opelika, AL
  • NPI 1154386431
  Care Compare affiliation

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

{
    "created_epoch": "1719964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719964800000",
    "number": "1124864673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2160 WEDGEWOOD CT",
            "city": "AUBURN",
            "state": "AL",
            "postal_code": "368302581",
            "telephone_number": "706-588-8602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "122 N 20TH ST BLDG 24",
            "city": "OPELIKA",
            "state": "AL",
            "postal_code": "368015442",
            "telephone_number": "334-745-4646"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MERSINO",
        "first_name": "TARA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-07-03",
        "last_updated": "2024-07-03",
        "certification_date": "2024-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1-176811",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Medical Arts Pharmacy Inc
• Peyton Meigs
• Daniel Mejer, M.D.
• Nathan Lee Mendoza
• Nabil Merchant, MD
• Savanna Marie Metzler
• Gerald Scott Middleton
• Ashlee Nicole Milam, PHARMD
• Dennis E Miller, RPH
• Kristi Ann Miller, CRNP

• Family Nurse Practitioner in Opelika, AL
• Providers in Opelika, AL by specialty
• Family Nurse Practitioner in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.

Verify at the official NPI Registry.