Mesaesthetics & Wellness LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

MESAESTHETICS & WELLNESS LLC

Practice address

3645 Cortez Rd W Ste 110
Bradenton, FL 34210-3161

Phone

(831) 975-6010

Fax

(949) 695-4150

NPI assigned

Feb 12, 2024

Organization subpart

No

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

Authorized official

Name

Denise Serrano

Title

Credentialing Manager

Phone

(347) 592-0841

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Nathalia Mesa, M.D.

  • Family Medicine Physician
  • Bradenton, FL
  • NPI 1942563150
  Medicare reassignment NPD

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

{
    "created_epoch": "1707696000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738800000000",
    "number": "1194589846",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3645 CORTEZ RD W FL 3164",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342103164",
            "telephone_number": "831-975-6010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3645 CORTEZ RD W STE 110",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342103161",
            "telephone_number": "831-975-6010",
            "fax_number": "949-695-4150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MESAESTHETICS & WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-12",
        "last_updated": "2025-02-06",
        "certification_date": "2025-02-06",
        "status": "A",
        "authorized_official_last_name": "SERRANO",
        "authorized_official_first_name": "DENISE",
        "authorized_official_title_or_position": "CREDENTIALING MANAGER",
        "authorized_official_telephone_number": "347-592-0841"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kori Nicole Merriman, MA, BCBA
• Merritt Nutrition LLC
• Jennie Merritt, RDN
• Kathleen Marie Merritt, M.A.
• Nathalia Mesa, M.D.
• Dominique Mesidor, MD
• David Vincent Messer, P.A.
• Rene Joseph Messier III, APRN FP-C
• Matthew Joseph Messina
• Sarah Messina

• Family Medicine Physician in Bradenton, FL
• Providers in Bradenton, FL by specialty
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.