Individual provider Active NPI

Mercedes Garcia, ANP-BC

  • Nurse Practitioner
  • Tamarac, FL
National Provider Identifier
1164719910
Registry record updated Jun 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
9260510 Issued in FL
Practice address
7401 N University Dr Ste 103
Tamarac, FL 33321-2933
Phone
(954) 233-0913
Fax
(954) 591-5011
NPI assigned
Jun 30, 2011
Last updated
Jun 24, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 9260510 FL Primary

Addresses

Primary practice location

7401 N University Dr Ste 103
Tamarac, FL 33321-2933

Mailing address

18743 SW 24TH St
Miramar, FL 33029-5934
Phone (954) 233-0913

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20190830001317 FL Practitioner - Nurse Practitioner 4688842636 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

7201 N University Dr
University Hospital and Medical Center
Tamarac, FL 33321-2913
Phone (305) 215-2571

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
9260510FLMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
MG Medical LLC Nurse Practitioner CurrentSince Sep 13, 2020 Accepting new patients
Alliance of Home Care Physicians, PC Past Accepting new patients

Locations

3000 Coral Hills Dr
Pompano Beach, FL 33065
Phone (954) 344-3000

7201 N University Dr
Tamarac, FL 33321
Phone (954) 721-2200

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

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

NPI Registry JSON

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

{
    "created_epoch": "1309392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592956800000",
    "number": "1164719910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18743 SW 24TH ST",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330295934",
            "telephone_number": "954-233-0913",
            "fax_number": "954-391-5011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7401 N UNIVERSITY DR STE 103",
            "city": "TAMARAC",
            "state": "FL",
            "postal_code": "333212933",
            "telephone_number": "954-233-0913",
            "fax_number": "954-591-5011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARCIA",
        "first_name": "MERCEDES",
        "credential": "ANP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-06-30",
        "last_updated": "2020-06-24",
        "certification_date": "2020-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "9260510",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tamarac, FL

Sources for this page

Verify at the official NPI Registry.