Individual provider Active NPI

Remelyn Falle Mercado, APRN

  • Gerontology Nurse Practitioner
  • Clermont, FL
National Provider Identifier
1194302281
Registry record updated Mar 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
11012322 Issued in FL
Practice address
2023 Knollcrest Dr
Clermont, FL 34711-5117
Phone
(908) 265-7953
NPI assigned
Mar 25, 2021
Last updated
Mar 25, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 25, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LG0600X 11012322 FL Primary
Adult Health Nurse Practitioner 363LA2200X 11012322 FL

Addresses

Primary practice location

2023 Knollcrest Dr
Clermont, FL 34711-5117

Mailing address

2023 Knollcrest Dr
Clermont, FL 34711-5117
Phone (908) 265-7953

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
I20230606003114 FL Practitioner - Nurse Practitioner 1658692611 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Quality Physician Group PLLCGroup PAC ID 7113263260, 9 clinicians

Practice addresses (Care Compare)

33049 Professional Dr
Suite 102
Leesburg, FL 34788-3705
Phone (352) 446-4227

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11012322FLMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
All for Health PLLC Multi-Specialty CurrentSince Feb 18, 2025 Accepting new patients
Lake Gastroenterology Associates LLC Multi-Specialty Past Accepting new patients

Locations

33049 Professional Dr
Ste 101
Leesburg, FL 34788
Phone (352) 353-6797

33049 Professional Dr
Ste 102
Leesburg, FL 34788
Phone (352) 353-6967

5455 Spencer Ct
Ste 1
Wildwood, FL 34785
Phone (352) 353-6797

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1616630400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616630400000",
    "number": "1194302281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2023 KNOLLCREST DR",
            "city": "CLERMONT",
            "state": "FL",
            "postal_code": "347115117",
            "telephone_number": "908-265-7953"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2023 KNOLLCREST DR",
            "city": "CLERMONT",
            "state": "FL",
            "postal_code": "347115117",
            "telephone_number": "908-265-7953"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MERCADO",
        "first_name": "REMELYN",
        "middle_name": "FALLE",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-03-25",
        "last_updated": "2021-03-25",
        "certification_date": "2021-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "FL",
            "license": "11012322",
            "primary": true
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "FL",
            "license": "11012322",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clermont, FL

Sources for this page

Verify at the official NPI Registry.