Individual provider Active NPI

Mercedes Despaigne

  • Psychiatric/Mental Health Nurse Practitioner
  • Lake Mary, FL
National Provider Identifier
1487392197
Registry record updated May 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
APRN11018991 Issued in FL
Practice address
255 Primera Blvd Ste 520
Lake Mary, FL 32746-2158
Phone
(689) 282-6774
NPI assigned
May 23, 2022
Last updated
May 7, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 7, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X APRN11018991 FL Primary
Acute Care Nurse Practitioner 363LA2100X 11018991 FL

Addresses

Primary practice location

255 Primera Blvd Ste 520
Lake Mary, FL 32746-2158

Mailing address

255 Primera Blvd Ste 520
Lake Mary, FL 32746-2158
Phone (689) 282-6774

Other practice location 1

841 Prudential Dr Ste 1100
Jacksonville, FL 32207-8352
Phone (904) 902-4408

Other practice location 2

9400 Southpark Center Loop Ste 450
Orlando, FL 32819-8647
Phone (689) 282-6774

Other practice location 3

2301 N University Dr Ste 103
Pembroke Pines, FL 33024-3617
Phone (954) 276-1400

Other practice location 4

203 Fort Wade Rd Unit 250
Ponte Vedra Beach, FL 32081-5214
Phone (904) 902-4408

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20221123000594 FL Practitioner - Nurse Practitioner 7719355718 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
South Broward Hospital DistrictGroup PAC ID 8123927373, 659 clinicians

Practice addresses (Care Compare)

20801 Biscayne Blvd
Suite 203
Aventura, FL 33180-1492
Phone (954) 265-0072

4651 Sheridan St
Suite 350
Hollywood, FL 33021-3425
Phone (954) 276-8559

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11018991FLMDAcute Care Nurse Practitioner
APRN11018991FLMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
South Broward Hospital District CurrentSince Aug 16, 2022 Accepting new patients
South Broward Hospital District CurrentSince Aug 16, 2022 Accepting new patients
Serenity TMS Centers LLC CurrentSince Mar 11, 2024 Accepting new patients
South Broward Hospital District Past Accepting new patients

Locations

20801 Biscayne Blvd
Ste 203
Aventura, FL 33180
Phone (305) 682-2580

4651 Sheridan St
Ste 350
Hollywood, FL 33021
Phone (954) 276-8559

841 Prudential Dr
Ste 1100
Jacksonville, FL 32207
Phone (904) 328-7379

255 Primera Blvd
Ste 520
Lake Mary, FL 32746
Phone (689) 282-6774

2900 Corporate Way
#D
Miramar, FL 33025
Phone (954) 276-5581

9400 Southpark Center Loop
Ste 450
Orlando, FL 32819
Phone (689) 282-6774

2301 N University Dr
Ste 103
Pembroke Pines, FL 33024
Phone (954) 276-1400

203 Fort Wade Rd
Unit 250
Ponte Vedra Beach, FL 32081
Phone (904) 902-4408

Organizations & group practices 4

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 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": "1653264000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778112000000",
    "number": "1487392197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "255 PRIMERA BLVD STE 520",
            "city": "LAKE MARY",
            "state": "FL",
            "postal_code": "327462158",
            "telephone_number": "689-282-6774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "255 PRIMERA BLVD STE 520",
            "city": "LAKE MARY",
            "state": "FL",
            "postal_code": "327462158",
            "telephone_number": "689-282-6774"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "841 Prudential Dr Ste 1100",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "FL",
            "postal_code": "322078352",
            "country_code": "US",
            "telephone_number": "904-902-4408",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9400 Southpark Center Loop Ste 450",
            "address_purpose": "LOCATION",
            "city": "Orlando",
            "state": "FL",
            "postal_code": "328198647",
            "country_code": "US",
            "telephone_number": "689-282-6774",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2301 N University Dr Ste 103",
            "address_purpose": "LOCATION",
            "city": "Pembroke Pines",
            "state": "FL",
            "postal_code": "330243617",
            "country_code": "US",
            "telephone_number": "954-276-1400",
            "fax_number": "954-322-8115",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "203 Fort Wade Rd Unit 250",
            "address_purpose": "LOCATION",
            "city": "Ponte Vedra Beach",
            "state": "FL",
            "postal_code": "320815214",
            "country_code": "US",
            "telephone_number": "904-902-4408",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DESPAIGNE",
        "first_name": "MERCEDES",
        "name_prefix": "Ms.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-05-23",
        "last_updated": "2026-05-07",
        "certification_date": "2026-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "APRN11018991",
            "primary": true
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "FL",
            "license": "11018991",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Mary, FL

Sources for this page

Verify at the official NPI Registry.