Individual provider Active NPI

Christel Mercado Bonneville, PA-C

  • Physician Assistant
  • Baltimore, MD
National Provider Identifier
1336698497
Registry record updated Jul 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
C0006228 Issued in MD
Practice address
2700 Quarry Lake Dr Ste 300
Baltimore, MD 21209-3746
Phone
(410) 377-8900
Fax
(410) 377-0576
NPI assigned
Sep 29, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X C0006228 MD Primary

Addresses

Primary practice location

2700 Quarry Lake Dr Ste 300
Baltimore, MD 21209-3746

Mailing address

3700 Toone St Apt 2675
Baltimore, MD 21224-5171
Phone (410) 967-1125

Other practice location 1

4 Park Center Ct Ste 102
Owings Mills, MD 21117-5613
Phone (410) 377-8900

Other practice location 2

1312 Bellona Ave Ste 302
Lutherville, MD 21093-5436
Phone (410) 377-8900

Other names 1

  • Paula Christel Santos Mercado Former name

Electronic endpoints 3

TypeEndpointUseAffiliation
Direct Messaging Address paula.christel.mercado.1@9012.direct.athenahealth.com
Direct Messaging Address paula.christel.mercado.1@9012.direct.athenahealth.com
Direct Messaging Address paula.christel.mercado.1@9012.direct.athenahealth.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
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
I20170118001304 MD Practitioner - Physician Assistant 2466734983 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

10710 Charter Dr
Suite 300
Columbia, MD 21044-3260
Phone (410) 644-1880

120 Westminster Pike
Suite 200
Reisterstown, MD 21136-1027
Phone (410) 377-8900

Merit-based Incentive Payment System (MIPS)

Final score
87.93 of 100Reported as group
Quality
86.7
Promoting interoperability
100
Improvement activities
40
Cost
73.06

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
C0006228MDMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Centers for Advanced Orthopaedics, LLC CurrentSince Jun 30, 2019 Accepting new patients
Greater Maryland Pain Management, LLC CurrentSince Mar 26, 2018 Accepting new patients
Greater Maryland Pain Management, LLC CurrentSince Mar 26, 2018 Accepting new patients
Centers for Advanced Orthopaedics, LLC CurrentSince Jun 30, 2019 Accepting new patients
Centers for Advanced Orthopaedics, LLC Past Accepting new patients
Orthopaedic Associates of Central Maryland, PA Past Accepting new patients

Locations

2700 Quarry Lake Dr
Ste 300
Baltimore, MD 21209

10710 Charter Dr
Ste 300
Columbia, MD 21044
Phone 4106441880450

1312 Bellona Ave
Ste 302
Lutherville Timonium, MD 21093
Phone (301) 637-8712

1130 Annapolis Rd
Ste 100
Odenton, MD 21113
Phone (703) 347-1962

4 Park Center Ct
Ste 102
Owings Mills, MD 21117
Phone (410) 377-3484

Interoperability endpoints

  • Direct secure messaging: 38cmercado@cfaortho.emadirect.md

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1475107200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659052800000",
    "number": "1336698497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3700 TOONE ST APT 2675",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212245171",
            "telephone_number": "410-967-1125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2700 QUARRY LAKE DR STE 300",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212093746",
            "telephone_number": "410-377-8900",
            "fax_number": "410-377-0576"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4 Park Center Ct Ste 102",
            "address_purpose": "LOCATION",
            "city": "Owings Mills",
            "state": "MD",
            "postal_code": "211175613",
            "country_code": "US",
            "telephone_number": "410-377-8900",
            "fax_number": "410-377-0576",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1312 Bellona Ave Ste 302",
            "address_purpose": "LOCATION",
            "city": "Lutherville",
            "state": "MD",
            "postal_code": "210935436",
            "country_code": "US",
            "telephone_number": "410-377-8900",
            "fax_number": "410-377-0576",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BONNEVILLE",
        "first_name": "CHRISTEL",
        "middle_name": "MERCADO",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-09-29",
        "last_updated": "2022-07-29",
        "certification_date": "2022-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MD",
            "license": "C0006228",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "paula.christel.mercado.1@9012.direct.athenahealth.com",
            "affiliation": "N",
            "address_1": "2700 Quarry Lake Dr Ste 300",
            "city": "Baltimore",
            "state": "MD",
            "country_code": "US",
            "postal_code": "212093746",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "paula.christel.mercado.1@9012.direct.athenahealth.com",
            "affiliation": "N",
            "address_1": "4 Park Center Ct Ste 102",
            "city": "Owings Mills",
            "state": "MD",
            "country_code": "US",
            "postal_code": "211175613",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "paula.christel.mercado.1@9012.direct.athenahealth.com",
            "affiliation": "N",
            "address_1": "1312 Bellona Ave Ste 302",
            "city": "Lutherville",
            "state": "MD",
            "country_code": "US",
            "postal_code": "210935436",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "PAULA CHRISTEL",
            "last_name": "MERCADO",
            "middle_name": "SANTOS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.