Individual provider Active NPI

Mariangela Merced, PA-C

  • Physician Assistant
  • Springfield, MA
National Provider Identifier
1245426253
Registry record updated Dec 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA2381 Issued in MA
Practice address
100 Wason Ave Ste 120
Springfield, MA 01107-1179
Phone
(413) 241-2100
Fax
(413) 735-1986
NPI assigned
Sep 24, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X PA2381 MA
Physician Assistant 363A00000X PA2381 MA Primary

Addresses

Primary practice location

100 Wason Ave Ste 120
Springfield, MA 01107-1179

Mailing address

40 Tamarack Dr
Springfield, MA 01129-1930
Phone (413) 222-5124

Other practice location 1

123 Park Ave
W Springfield, MA 01089-3337
Phone (413) 998-1980

Other practice location 2

3400 Main Street
Springfield, MA 01107
Phone (413) 794-9560

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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
I20071116000315 MA Practitioner - Physician Assistant 8123116605 Reassigns benefits to 13 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
2381MAMDAddiction (Substance Use Disorder) Counselor
PA2381MAMDPhysician Assistant
005194CTMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Beth Israel Lahey Health Primary Care, Inc. CurrentSince Jun 12, 2025 Accepting new patients
Pioneer Spine and Sports Physicians PC CurrentSince Sep 20, 2022 Accepting new patients
Baystate Wing Hospital Corporation CurrentSince Jan 9, 2016 Accepting new patients
Afc Physicians of Massachusetts, PC CurrentSince Dec 14, 2015 Accepting new patients
DRX UC Worcester PC CurrentSince Aug 27, 2017 Accepting new patients
Beth Israel Lahey Health Primary Care Inc CurrentSince Jun 12, 2025 Accepting new patients
Western Mass Physician Associates Inc CurrentSince Sep 15, 2021 Accepting new patients
Excella Home Health Agency, LLC Past Accepting new patients
Mwa, PC Past Accepting new patients
Radiology & Imaging, Inc. Past Accepting new patients
The Mercy Hospital Inc Past Accepting new patients
Hampden County Physician Associates, LLC. Past Accepting new patients

Locations

10 Hospital Dr
Ste 306
Holyoke, MA 01040
Phone (413) 539-6830

575 Beech St
Holyoke, MA 01040
Phone (413) 534-2570

8 Commerce Blvd
Ste 101
Middleboro, MA 02346
Phone (774) 260-9100

766 N King St
Northampton, MA 01060
Phone (413) 586-0230

40 Wright St
Palmer, MA 01069
Phone (413) 284-5210

15 Railroad Ave
South Hamilton, MA 01982
Phone (978) 468-7381

175 Carew St
Ste 150
Springfield, MA 01104
Phone (413) 452-6570

271 Park St
West Springfield, MA 01089
Phone (413) 785-1153

117 Stafford St
Ste A
Worcester, MA 01603
Phone (508) 755-4010

Interoperability endpoints

  • FHIR API: https://fhir.laheyhealth.org/proxy-prd-fhir/api/FHIR/R4/
  • Direct secure messaging: mmerced561188@direct.bilh.masshiway.net
  • FHIR API: https://api.platform.athenahealth.com/10729/brand/1/csg/1/fhir/r4

Organizations & group practices 23

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.

View all 23

NPI Registry JSON

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

{
    "created_epoch": "1190592000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734566400000",
    "number": "1245426253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 TAMARACK DR",
            "city": "SPRINGFIELD",
            "state": "MA",
            "postal_code": "011291930",
            "telephone_number": "413-222-5124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 WASON AVE STE 120",
            "city": "SPRINGFIELD",
            "state": "MA",
            "postal_code": "011071179",
            "telephone_number": "413-241-2100",
            "fax_number": "413-735-1986"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "123 Park Ave",
            "address_purpose": "LOCATION",
            "city": "W Springfield",
            "state": "MA",
            "postal_code": "010893337",
            "country_code": "US",
            "telephone_number": "413-998-1980",
            "fax_number": "720-598-0440",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3400 Main Street",
            "address_purpose": "LOCATION",
            "city": "Springfield",
            "state": "MA",
            "postal_code": "01107",
            "country_code": "US",
            "telephone_number": "413-794-9560",
            "fax_number": "413-794-5884",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MERCED",
        "first_name": "MARIANGELA",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-09-24",
        "last_updated": "2024-12-19",
        "certification_date": "2024-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "MA",
            "license": "PA2381",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MA",
            "license": "PA2381",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, MA

Sources for this page

Verify at the official NPI Registry.