Individual provider Active NPI

Mercy Pearce, PA-C

  • Physician Assistant
  • Coppell, TX
National Provider Identifier
1487958377
Registry record updated Apr 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0110008250 Issued in VA
Practice address
8840 Cypress Waters Blvd
Coppell, TX 75019-4594
Phone
(800) 685-2272
NPI assigned
Jan 6, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 020346-1 NY
Physician Assistant 363A00000X 0110008250 VA Primary

Addresses

Primary practice location

8840 Cypress Waters Blvd
Coppell, TX 75019-4594

Mailing address

200 Corporate Blvd
Lafayette, LA 70508-3870
Phone (800) 893-9698

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, SC, NY, WY, KY, VA, PA, MS8 enrollments
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 8

Enrollment IDStateProvider typePAC IDDetails
I20110307000532 GA Practitioner - Physician Assistant 7315129723 Reassigns benefits to 1 organization
I20130603000726 SC Practitioner - Physician Assistant 7315129723 Reassigns benefits to 1 organization
I20190524001823 NY Practitioner - Physician Assistant 7315129723 Reassigns benefits to 2 organizations
I20200121000884 WY Practitioner - Physician Assistant 7315129723 Reassigns benefits to 1 organization
I20211025001149 KY Practitioner - Physician Assistant 7315129723 Reassigns benefits to 1 organization
I20220215000120 VA Practitioner - Physician Assistant 7315129723 Reassigns benefits to 2 organizations
I20230706000992 PA Practitioner - Physician Assistant 7315129723 Reassigns benefits to 3 organizations
I20250522000900 MS Practitioner - Physician Assistant 7315129723 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
020346-1NYMDPhysician Assistant
0110008250VAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Owensboro Health Medical Group Inc CurrentSince Oct 5, 2021 Accepting new patients
Greenville Health System CurrentSince Oct 12, 2015 Accepting new patients
Ivinson Memorial Hospital CurrentSince Nov 27, 2019 Accepting new patients
Upmc Bedford Memorial CurrentSince Feb 6, 2024 Accepting new patients
Greenville Health System CurrentSince Oct 12, 2015 Accepting new patients
Upmc Bedford Memorial CurrentSince Feb 6, 2024 Accepting new patients
Ivinson Memorial Hospital CurrentSince Nov 27, 2019 Accepting new patients
Owensboro Health Medical Group, Inc. Physician Assistant CurrentSince Oct 5, 2021 Accepting new patients
Upmc Altoona CurrentSince Nov 1, 2023 Accepting new patients
Upmc Altoona CurrentSince Nov 1, 2023 Accepting new patients
Oconee Medical Center Past Accepting new patients

Locations

2211 Mayfair Dr
Ste 102
Owensboro, KY 42301
Phone (270) 688-1351

620 Howard Ave
Altoona, PA 16601
Phone (814) 889-2011

10455 Lincoln Hwy
Everett, PA 15537
Phone (814) 623-3550

2 Hot Metal St
#One
Pittsburgh, PA 15203
Phone (412) 432-5864

298 Memorial Dr
Seneca, SC 29672
Phone (864) 482-3100

3116 Willett Dr
Laramie, WY 82072
Phone (307) 742-6319

255 N 30th St
Laramie, WY 82072
Phone (307) 742-2141

Organizations & group practices 22

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.

View all 22

NPI Registry JSON

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

{
    "created_epoch": "1294272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681344000000",
    "number": "1487958377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 CORPORATE BLVD",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705083870",
            "telephone_number": "800-893-9698"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8840 CYPRESS WATERS BLVD",
            "city": "COPPELL",
            "state": "TX",
            "postal_code": "750194594",
            "telephone_number": "800-685-2272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEARCE",
        "first_name": "MERCY",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-01-06",
        "last_updated": "2023-04-13",
        "certification_date": "2023-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "020346-1",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "VA",
            "license": "0110008250",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coppell, TX

Sources for this page

Verify at the official NPI Registry.