Individual provider Active NPI

Mercedes Coronado Perez, NP

  • Family Nurse Practitioner
  • Corpus Christi, TX
National Provider Identifier
1356901185
Registry record updated May 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP141784 Issued in TX
Practice address
13725 Northwest Blvd Ste a
Corpus Christi, TX 78410-5124
Phone
(361) 387-9413
Fax
(361) 387-9616
NPI assigned
Jun 14, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 22, 2023

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 AP141784 TX Primary

Addresses

Primary practice location

13725 Northwest Blvd Ste a
Corpus Christi, TX 78410-5124

Mailing address

13725 Northwest Blvd Ste a
Corpus Christi, TX 78410-5124
Phone (361) 387-9413

Other names 1

  • Mercedes Perez Other name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address mcoronado@wellmed.net Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20190913002550 TX Practitioner - Nurse Practitioner 9830428952 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wellmed Medical Group PAGroup PAC ID 4880657386, 666 clinicians

Practice addresses (Care Compare)

14702 Northwest Blvd
Corpus Christi, TX 78410-5554
Phone (361) 387-9413

2413 Memorial Pkwy
Portland, TX 78374-3209
Phone (361) 704-1544

6157 NW Loop 410
124 Wellmed at Ingram Park
San Antonio, TX 78238-3302
Phone (210) 523-1411

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Wellmed Medical Group, P.a. CurrentSince Jul 21, 2019 Accepting new patients
Wellmed Medical Group, P.a. CurrentSince Jul 21, 2019 Accepting new patients
Wellmed Medical Group, PA Current Accepting new patients

Locations

13725 Northwest Blvd
Ste A
Corpus Christi, TX 78410
Phone (361) 387-9413

14702 Northwest Blvd
Corpus Christi, TX 78410
Phone (361) 241-6700

6157 NW Loop 410
Ste 124
San Antonio, TX 78238
Phone (210) 523-1411

8637 Fredericksburg Rd
Ste 360
San Antonio, TX 78240
Phone (210) 304-3500

Interoperability endpoints

  • Direct secure messaging: mercedes.perez@wellmed.eclinicaldirectplus.com

Organizations & group practices 3

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": "1560470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684713600000",
    "number": "1356901185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13725 NORTHWEST BLVD STE A",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784105124",
            "telephone_number": "361-387-9413",
            "fax_number": "361-387-9616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13725 NORTHWEST BLVD STE A",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784105124",
            "telephone_number": "361-387-9413",
            "fax_number": "361-387-9616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEREZ",
        "first_name": "MERCEDES",
        "middle_name": "CORONADO",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-14",
        "last_updated": "2023-05-22",
        "certification_date": "2023-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP141784",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mcoronado@wellmed.net",
            "affiliation": "N",
            "endpointDescription": "mcoronado@wellmed.net",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "5909 Westlake",
            "city": "Sandia",
            "state": "TX",
            "country_code": "US",
            "postal_code": "783835657",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "MERCEDES",
            "last_name": "PEREZ",
            "credential": "NP",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Corpus Christi, TX

Sources for this page

Verify at the official NPI Registry.