NPIMap

Individual provider Active NPI

Tracey E Mercer-Benson, FNP

  • Family Nurse Practitioner
  • Warren, PA
National Provider Identifier
1225559883
Registry record updated Mar 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95006068 Issued in CA
Practice address
2817 Market St
Warren, PA 16365-5205
Phone
(814) 723-3794
NPI assigned
Jul 4, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 15, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 95006068 CA Primary

Addresses

Primary practice location

2817 Market St
Warren, PA 16365-5205

Mailing address

2 W Crescent Park
Warren, PA 16365-2199
Phone (814) 723-3300

Other identifiers 1

IdentifierTypeStateIssuer
95006068OtherCABRN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, PA2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20180130001905 CA Practitioner - Nurse Practitioner 2567722184
I20240808000029 PA Practitioner - Nurse Practitioner 2567722184 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Warren General HospitalGroup PAC ID 4880501402, 100 clinicians

Practice addresses (Care Compare)

2 Crescent Park W
Warren, PA 16365-2111

2 W Crescent Park
Warren, PA 16365-2111

2817 Market St
Warren, PA 16365-5205
Phone (814) 723-3794

Hospital & facility affiliations

  • Warren General Hospital Hospital, Warren, PA, CCN 391319
  • Warren General Hospital Hospital, Warren, PA, CCN 390146

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
95006068CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Warren General Hospital CurrentSince May 3, 2024 Accepting new patients
Warren General Hospital CurrentSince May 3, 2024 Accepting new patients
Warren Medical Group Inc Past Accepting new patients

Locations

2 W Crescent Park
Warren, PA 16365
Phone (814) 452-5337

103 W Saint Clair St
Rm 2A
Warren, PA 16365
Phone (814) 723-1212

2817 Market St
Warren, PA 16365
Phone (814) 723-3794

Interoperability endpoints

  • Direct secure messaging: traceymercer-benson@wagho.allscriptsdirect.net
  • Direct secure messaging: traceymercer-benson@directaddress.net

Organizations & group practices 11

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.

Hospital & facility affiliations 3

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": "1499126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710460800000",
    "number": "1225559883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 W CRESCENT PARK",
            "city": "WARREN",
            "state": "PA",
            "postal_code": "163652199",
            "telephone_number": "814-723-3300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2817 MARKET ST",
            "city": "WARREN",
            "state": "PA",
            "postal_code": "163655205",
            "telephone_number": "814-723-3794"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MERCER-BENSON",
        "first_name": "TRACEY",
        "middle_name": "E",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-04",
        "last_updated": "2024-03-15",
        "certification_date": "2024-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95006068",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BRN",
            "identifier": "95006068",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Warren, PA

Sources for this page

Verify at the official NPI Registry.