Individual provider Active NPI

Lloyd Mercado, ANP

  • Nurse Practitioner
  • Chicago, IL
National Provider Identifier
1457749079
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
209012347 Issued in IL
Practice address
2331 W Chicago Ave
Chicago, IL 60622-4723
Phone
(773) 772-7858
Fax
(773) 276-6668
NPI assigned
Jan 5, 2015
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 209012347 IL Primary

Addresses

Primary practice location

2331 W Chicago Ave
Chicago, IL 60622-4723

Mailing address

PO Box 3603
Oak Brook, IL 60522-3603

Other identifiers 2

IdentifierTypeStateIssuer
209-012347MedicaidIL
13677101OtherILCAQH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
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
I20150807015178 IL Practitioner - Nurse Practitioner 9830403559 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mobile Heal Well Wound Care LLCGroup PAC ID 1254830029, 3 clinicians
Vivek Gupta, M.D., S.C.Group PAC ID 3678668308, 28 clinicians
Telemedico Physicians Pulmonary SCGroup PAC ID 6608294400, 17 clinicians

Practice addresses (Care Compare)

2540 W Rascher Ave
Apt 1
Chicago, IL 60625-8018
Phone (773) 961-7571

2615 W Division St
Chicago, IL 60622-2851
Phone (773) 523-8600

4815 S Western Blvd
Chicago, IL 60609-4067
Phone (847) 386-7744

Merit-based Incentive Payment System (MIPS)

Final score
94.97 of 100Reported as individual
Quality
85
Improvement activities
40
Cost
77.4

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Telemedico Physicians Pulmonary SC CurrentSince May 19, 2025 Accepting new patients
Vivek Gupta, M.D., S.C. CurrentSince Jan 4, 2016 Accepting new patients
Mobile Heal Well Wound Care LLC Nurse Practitioner CurrentSince Jun 23, 2025 Accepting new patients

Locations

601 W Lincoln Ave
Caseyville, IL 62232
Phone (618) 344-9355

735 W Diversey Pkwy
Chicago, IL 60614
Phone (773) 348-4055

66 W Oak St
Chicago, IL 60610
Phone (312) 337-5400

2331 W Chicago Ave
Chicago, IL 60622
Phone (773) 772-7858

5130 W Jackson Blvd
Chicago, IL 60644
Phone (773) 287-1429

2720 W Division St
Chicago, IL 60622
Phone (773) 523-8600

3400 S Indiana Ave
Chicago, IL 60616
Phone (312) 482-5000

4437 S Cicero Ave
Chicago, IL 60632
Phone (773) 284-1421

4815 S Western Blvd
Chicago, IL 60609
Phone (312) 380-1379

2615 W Division St
Chicago, IL 60622
Phone (773) 394-4935

1725 S Wabash Ave
Chicago, IL 60616
Phone (312) 842-4400

4314 S Wabash Ave
Chicago, IL 60653
Phone (773) 538-8300

4538 N Beacon St
Chicago, IL 60640
Phone (773) 275-7200

3450 Saratoga Ave
Downers Grove, IL 60515
Phone (630) 696-2900

8200 Roosevelt Rd
Forest Park, IL 60130
Phone (708) 488-9850

3330 Skokie Valley Rd
Highland Park, IL 60035

3330 Skokie Valley Rd
Ste 200
Highland Park, IL 60035
Phone 8473867744202

7001 W Cullom Ave
Norridge, IL 60706
Phone (414) 721-8669

2013 Midwest Rd
Oak Brook, IL 60523
Phone (630) 495-0220

6501 S Cass Ave
Westmont, IL 60559
Phone (630) 460-2026

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": "1420416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1457749079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3603",
            "city": "OAK BROOK",
            "state": "IL",
            "postal_code": "605223603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2331 W CHICAGO AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606224723",
            "telephone_number": "773-772-7858",
            "fax_number": "773-276-6668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MERCADO",
        "first_name": "LLOYD",
        "credential": "ANP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-01-05",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IL",
            "license": "209012347",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "209-012347",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "13677101",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.