Individual provider Active NPI

Mercedes L Dockeney, CRNA

  • Certified Registered Nurse Anesthetist
  • Martinsburg, WV
National Provider Identifier
1457476624
Registry record updated Aug 1, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
60274 Issued in WV
Practice address
1006 Tavern Rd
Martinsburg, WV 25401-2864
Phone
(304) 267-0556
Fax
(304) 267-1460
NPI assigned
Mar 20, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X AC002386 MD
Certified Registered Nurse Anesthetist 367500000X 0001204998 VA
Certified Registered Nurse Anesthetist 367500000X 60274 WV Primary

Addresses

Primary practice location

1006 Tavern Rd
Martinsburg, WV 25401-2864

Mailing address

70 Bright Cherry CT
Martinsburg, WV 25403-7302
Phone (304) 283-4758

Other identifiers 1

IdentifierTypeStateIssuer
3810010071MedicaidWV

Other names 1

  • Mercedes L Taylor Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV, MD2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20110926000026 WV Practitioner - Certified Registered Nurse Anesthetist (Crna) 8527159904 Reassigns benefits to 3 organizations
I20181226000153 MD Practitioner - Certified Registered Nurse Anesthetist (Crna) 8527159904 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
City Hospital IncGroup PAC ID 3375444524, 155 clinicians

Practice addresses (Care Compare)

2500 Hospital Dr
Martinsburg, WV 25401-3402
Phone (304) 260-1443

Hospital & facility affiliations

  • Berkeley Medical Center Hospital, Martinsburg, WV, CCN 510008

Merit-based Incentive Payment System (MIPS)

Final score
95.34 of 100Reported as apm
Quality
79.86
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
AC002386MDMDCertified Registered Nurse Anesthetist
0001204998VAMDCertified Registered Nurse Anesthetist
60274WVMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
City Hospital, Inc. CurrentSince Nov 5, 2018 Accepting new patients
City Hospital Inc Nurse Anesthetist, Certified Registered Current Accepting new patients
Jefferson Memorial Hospital CurrentSince Oct 1, 2025 Accepting new patients
Tri-State Surgical Center, LLC CurrentSince Sep 1, 2020 Accepting new patients
Tri-State Surgical Center, LLC CurrentSince Sep 1, 2020 Accepting new patients
Jefferson Memorial Hospital Current Accepting new patients
Jefferson Memorial Hospital CurrentSince Oct 1, 2025 Accepting new patients

Locations

1006 Tavern Rd
Ste A
Martinsburg, WV 25401
Phone (304) 267-0556

1006 Tavern Rd
Martinsburg, WV 25401
Phone (304) 267-0556

2500 Hospital Dr
Martinsburg, WV 25401
Phone (304) 233-4134

300 S Preston St
Ranson, WV 25438
Phone (304) 728-1600

Organizations & group practices 8

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 1

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": "1174348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596240000000",
    "number": "1457476624",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "70 BRIGHT CHERRY CT",
            "city": "MARTINSBURG",
            "state": "WV",
            "postal_code": "254037302",
            "telephone_number": "304-283-4758"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1006 TAVERN RD",
            "city": "MARTINSBURG",
            "state": "WV",
            "postal_code": "254012864",
            "telephone_number": "304-267-0556",
            "fax_number": "304-267-1460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOCKENEY",
        "first_name": "MERCEDES",
        "middle_name": "L",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-20",
        "last_updated": "2020-08-01",
        "certification_date": "2020-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "MD",
            "license": "AC002386",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "VA",
            "license": "0001204998",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "WV",
            "license": "60274",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3810010071",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MERCEDES",
            "last_name": "TAYLOR",
            "middle_name": "L",
            "credential": "CRNA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Martinsburg, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.