NPIMap

Individual provider Active NPI

Jeannette Yvonne Mercer, M.D.

  • Family Medicine Physician
  • Fort Collins, CO
National Provider Identifier
1457435034
Registry record updated Feb 26, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
27598 Issued in CO
Practice address
2127 E Harmony Rd Ste 140
Fort Collins, CO 80528-3406
Phone
(970) 297-6250
NPI assigned
Oct 24, 2006
Last updated
Feb 26, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 27598 CO Primary

Addresses

Primary practice location

2127 E Harmony Rd Ste 140
Fort Collins, CO 80528-3406

Mailing address

13445 Voyager Pkwy
Colorado Springs, CO 80921-7648
Phone (719) 219-0333

Other identifiers 1

IdentifierTypeStateIssuer
01275981MedicaidCO

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050915000825 CO Practitioner - Family Practice 2961392832 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Colorado School of Medicine, Denver, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Poudre Valley Medical Group LLCGroup PAC ID 9638208549, 2,425 clinicians

Practice addresses (Care Compare)

13445 Voyager Pkwy
Colorado Springs, CO 80921-7648
Phone (719) 219-0333

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
27598COMDFamily Medicine Physician
25798COMDPulmonary Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Poudre Valley Medical Group, LLC CurrentSince Jun 18, 2017 Accepting new patients
Poudre Valley Medical Group, LLC CurrentSince Jun 18, 2017 Accepting new patients
Poudre Valley Health Care Inc. Current Accepting new patients
Poudre Valley Health Care,Inc CurrentSince Feb 3, 2014 Accepting new patients
Poudre Valley Health Care Inc CurrentSince Feb 3, 2014 Accepting new patients
Julie Devita-Bailey, D.O., P.C. Family Medicine Past Accepting new patients
Poudre Valley Medical Group, LLC PastSince Jul 1, 2022 Accepting new patients
Poudre Valley Medical Group, LLC Family Medicine Past Accepting new patients
Nephrology Clinic PC Past Accepting new patients
Big Thompson Medical Group Inc Family Medicine Past Accepting new patients

Locations

13445 Voyager Pkwy
Colorado Springs, CO 80921
Phone (719) 219-0333

11083 Colorado Blvd
Firestone, CO 80504
Phone (303) 833-8880

5965 Firestone Blvd
Firestone, CO 80504
Phone (720) 652-7055

5965 Firestone Blvd
Bldg B
Firestone, CO 80504
Phone (720) 652-7055

1024 S Lemay Ave
Fort Collins, CO 80524
Phone (970) 495-7000

1025 Pennock Pl
Fort Collins, CO 80524
Phone (970) 495-8800

1025 Pennock Pl
Ste 121
Fort Collins, CO 80524
Phone (970) 495-8800

2127 E Harmony Rd
Ste 140
Fort Collins, CO 80528
Phone (970) 207-4800

2315 E Harmony Rd
Ste 200
Fort Collins, CO 80528

4601 Corbett Dr
Fort Collins, CO 80528
Phone (970) 207-4800

1900 16th St
Greeley, CO 80631
Phone (970) 350-2438

5881 W 16th St
Ste A
Greeley, CO 80634
Phone (970) 652-2447

4846 Larimer Pkwy
Bldg 1
Johnstown, CO 80534
Phone (970) 624-2830

2970 Arapahoe Rd
Lafayette, CO 80026
Phone (303) 460-6010

2101 Main St
Longmont, CO 80501
Phone (720) 745-8030

1159 Eagle Dr
Loveland, CO 80537
Phone (970) 219-5223

221 E 29th St
Ste 102
Loveland, CO 80538
Phone (970) 224-3636

2695 Rocky Mountain Ave
Ste 150
Loveland, CO 80538
Phone (970) 624-2412

3850 Grant Ave
Ste 200
Loveland, CO 80538
Phone (970) 624-5150

13631 Colorado Blvd
Thornton, CO 80602
Phone (303) 252-2960

Organizations & group practices 10

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 14

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1161648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582675200000",
    "number": "1457435034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13445 VOYAGER PKWY",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809217648",
            "telephone_number": "719-219-0333",
            "fax_number": "719-219-0320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2127 E HARMONY RD STE 140",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805283406",
            "telephone_number": "970-297-6250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MERCER",
        "first_name": "JEANNETTE",
        "middle_name": "YVONNE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-24",
        "last_updated": "2020-02-26",
        "certification_date": "2020-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CO",
            "license": "27598",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01275981",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Collins, CO

Sources for this page

Verify at the official NPI Registry.