Individual provider Active NPI

Maxi Inez Mercado, APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • Melbourne, FL
National Provider Identifier
1578326252
Registry record updated Apr 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
APRN11030997 Issued in FL
Practice address
2903 W New Haven Ave # 591
Melbourne, FL 32904-3661
Phone
(321) 872-8443
Fax
(321) 621-0036
NPI assigned
Feb 5, 2024
Last updated
Apr 7, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X APRN11030997 FL Primary

Addresses

Primary practice location

2903 W New Haven Ave # 591
Melbourne, FL 32904-3661

Mailing address

2903 W New Haven Ave # 591
Melbourne, FL 32904-3661
Phone (321) 872-8443

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, CT2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20240514003813 FL Practitioner - Nurse Practitioner 6103267737 Reassigns benefits to 2 organizations
I20260524000086 CT Practitioner - Nurse Practitioner 6103267737 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

66 E Flagler St
Miami, FL 33130-1807

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Circles of Care, Inc. CurrentSince Jul 23, 2024 Accepting new patients
Circles of Care, Inc. Mental Health CurrentSince Jul 23, 2024 Accepting new patients

Locations

400 Sheridan Rd
Melbourne, FL 32901
Phone (321) 722-5273

1770 Cedar St
Rockledge, FL 32955
Phone (321) 634-6257

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.

NPI Registry JSON

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

{
    "created_epoch": "1707091200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775520000000",
    "number": "1578326252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2903 W NEW HAVEN AVE # 591",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329043661",
            "telephone_number": "321-872-8443",
            "fax_number": "321-621-0036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2903 W NEW HAVEN AVE # 591",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329043661",
            "telephone_number": "321-872-8443",
            "fax_number": "321-621-0036"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MERCADO",
        "first_name": "MAXI",
        "middle_name": "INEZ",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-02-05",
        "last_updated": "2026-04-07",
        "certification_date": "2026-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "APRN11030997",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Melbourne, FL

Sources for this page

Verify at the official NPI Registry.