Individual provider Active NPI

Mercy Ragas Florida, NP

  • Family Nurse Practitioner
  • La Crescenta, CA
National Provider Identifier
1134749286
Registry record updated Apr 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95014416 Issued in CA
Practice address
3517 Fairchild St
La Crescenta, CA 91214-2535
Phone
(732) 822-8316
NPI assigned
Apr 18, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 18, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X 95014416 CA Primary

Addresses

Primary practice location

3517 Fairchild St
La Crescenta, CA 91214-2535

Mailing address

3517 Fairchild St
La Crescenta, CA 91214-2535

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20200623003082 CA Practitioner - Nurse Practitioner 4082036819 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Eagle Rock Medical CenterGroup PAC ID 7810350410, 3 clinicians

Practice addresses (Care Compare)

4867 Eagle Rock Blvd
Suite 1
Los Angeles, CA 90041-2649
Phone (323) 254-6754

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
95014416CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Eagle Rock Medical Center Single Specialty CurrentSince Aug 22, 2023 Accepting new patients

Locations

4867 Eagle Rock Blvd
Ste 1
Los Angeles, CA 90041
Phone (323) 254-6754

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

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.

NPI Registry JSON

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

{
    "created_epoch": "1587168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1587168000000",
    "number": "1134749286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3517 FAIRCHILD ST",
            "city": "LA CRESCENTA",
            "state": "CA",
            "postal_code": "912142535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3517 FAIRCHILD ST",
            "city": "LA CRESCENTA",
            "state": "CA",
            "postal_code": "912142535",
            "telephone_number": "732-822-8316"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLORIDA",
        "first_name": "MERCY",
        "middle_name": "RAGAS",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-04-18",
        "last_updated": "2020-04-18",
        "certification_date": "2020-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95014416",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in La Crescenta, CA

Sources for this page

Verify at the official NPI Registry.