Andrea Elisabeth Mercatante, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

5601009474 Issued in MI

Practice address

19145 Allen Rd Ste 107
Brownstown TWP, MI 48183-6812

Phone

(734) 486-4200

NPI assigned

Jun 12, 2019

Last updated

Sep 18, 2019By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

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

Specialty

Physician Assistant

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Wyandotte Urgent Care ClinicGroup PAC ID 4183996150, 17 clinicians

Southshore Urgent Care PLLCGroup PAC ID 5698009777, 14 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: amercatante625910@direct.hfhs.org

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.

• Southshore Urgent Care PLLC.

  • Urgent Care Clinic/Center
  • Brownstown TWP, MI
  • NPI 1356804710
  Medicare reassignment Care Compare group
• Wyandotte Urgent Care Clinic

  • Urgent Care Clinic/Center
  • Wyandotte, MI
  • NPI 1316467384
  Medicare reassignment Care Compare group
• Blue Water Urgent Care PLLC

  • Urgent Care Clinic/Center
  • Fort Gratiot, MI
  • NPI 1477135036
  NPD (past)
• Ppom

  • Primary Care Clinic/Center
  • Trenton, MI
  • NPI 1588095863
  NPD (past)

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

{
    "created_epoch": "1560297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568764800000",
    "number": "1548829658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19145 ALLEN RD STE 107",
            "city": "BROWNSTOWN TWP",
            "state": "MI",
            "postal_code": "481836812"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19145 ALLEN RD STE 107",
            "city": "BROWNSTOWN TWP",
            "state": "MI",
            "postal_code": "481836812",
            "telephone_number": "734-486-4200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MERCATANTE",
        "first_name": "ANDREA",
        "middle_name": "ELISABETH",
        "name_prefix": "Ms.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-12",
        "last_updated": "2019-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MI",
            "license": "5601009474",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David Warren Law, DO
• Liljana Licovski, DPM
• Joan Loewe
• Konnor Maloney, DC
• Sydney Mathews
• Metropolitan Anesthesia Consultants, PLLC (MAC Pain & Spine Institute)
• MGS Dental PLLC
• Michigan House Physicians, P.C.
• Michigan Interventional Pain Center,PC
• Andrew Miller, PHARMD

• Physician Assistant in Brownstown TWP, MI
• Providers in Brownstown TWP, MI by specialty
• Physician Assistant in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.