Individual provider Active NPI

Nicole Mercho, OD

  • Optometrist
  • Brooklyn, NY
National Provider Identifier
1306464680
Registry record updated Jun 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
34824 Issued in CA
Practice address
800 Poly PL
Brooklyn, NY 11209-7104
Phone
(718) 836-6600
NPI assigned
Jul 13, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 009203 NY
Optometrist 152W00000X 34824 CA Primary

Addresses

Primary practice location

800 Poly PL
Brooklyn, NY 11209-7104

Mailing address

84 Front St Apt 5a
Brooklyn, NY 11201-1008
Phone (812) 229-9559

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210604001415 CA Practitioner - Optometry 4880093236 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
State University of New York - State College Optometry, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
UCSF Medical Group Business ServicesGroup PAC ID 3779497870, 1,533 clinicians

Practice addresses (Care Compare)

400 Parnassus Ave
San Francisco, CA 94143-2202

UCSF Office of Medical Affairs and Governance Box
2001 The Embarcadero Suite 1500
San Francisco, CA 94143

Hospital & facility affiliations

  • UCSF Medical Center Hospital, San Francisco, CA, CCN 050454
  • California Pacific Medical Ctr-Davies Campus Hosp Hospital, San Francisco, CA, CCN 050008

Merit-based Incentive Payment System (MIPS)

Final score
87.01 of 100Reported as group
Quality
86.78
Improvement activities
40
Cost
70.46

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
UCSF Medical Group Business Services CurrentSince Jul 9, 2021 Accepting new patients
University of California San Francisco CurrentSince Jul 9, 2021 Accepting new patients
University of California San Francisco CurrentSince Jul 9, 2021 Accepting new patients
Regents of the University of California at Berkeley Optometrist CurrentSince May 25, 2021 Accepting new patients
The West Oakland Health Council CurrentSince Aug 20, 2021 Accepting new patients
UCSF Medical Group Business Services CurrentSince Jul 9, 2021 Accepting new patients
The West Oakland Health Council Current Accepting new patients
The West Oakland Health Council CurrentSince Aug 20, 2021 Accepting new patients
Alameda Health System Past Accepting new patients
University of California San Francisco Past Accepting new patients
University of California San Francisco Medical Center Past Accepting new patients

Locations

200 Minor Hall
Berkeley, CA 94720
Phone (510) 642-0945

200 Minor Hall
Ste 384A
Berkeley, CA 94720
Phone (510) 642-7844

700 Adeline St
Oakland, CA 94607
Phone (510) 835-9610

6955 Foothill Blvd
Ste 200
Oakland, CA 94605
Phone (510) 567-5700

10615 International Blvd
Oakland, CA 94603
Phone (510) 568-9230

400 Parnassus Ave
#A632
San Francisco, CA 94143
Phone (415) 473-1000

490 Illinois St
San Francisco, CA 94143
Phone (415) 353-2020

2330 Post St
San Francisco, CA 94115
Phone (415) 502-4444

Interoperability endpoints

  • Direct secure messaging: nmercho194469@direct-ucsfmedicalcenter.org

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 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": "1594598400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624924800000",
    "number": "1306464680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "84 FRONT ST APT 5A",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112011008",
            "telephone_number": "812-229-9559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 POLY PL",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112097104",
            "telephone_number": "718-836-6600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MERCHO",
        "first_name": "NICOLE",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-13",
        "last_updated": "2021-06-29",
        "certification_date": "2021-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "009203",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "34824",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.