Active NPI
Michelle Elizabeth Merced, CRNP
- Acute Care Nurse Practitioner
- Philadelphia, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acute Care Nurse Practitioner
- License
- SP015130
- Practice address
- 909 Walnut St
Philadelphia, PA 19107-5211 - Phone
- (215) 955-1234
- NPI assigned
- Jul 24, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acute Care Nurse Practitioner | 363LA2100X | SP015130 | PA | Primary |
Addresses
Primary practice location
909 Walnut St
Philadelphia, PA 19107-5211
Mailing address
909 Walnut St
Philadelphia, PA 19107-5211
Phone (215) 955-1234
Other practice location 1
224 W Tulpehocken St
Rear 2
Philadelphia, PA 19144-5001
Phone (315) 525-4075
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20170202001210 | PA | Practitioner - Nurse Practitioner | 3173814597 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SP015130 | PA | MD | Acute Care Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jefferson University Physicians | Current | Accepting new patients | |
| Minimally Invasive Care Institute of Lehigh Valley LLC | Acute Care | Current | Accepting new patients |
| Pocono Surgical Associates | Past | Accepting new patients |
Locations
3450 High Point Blvd
Ste F
Bethlehem, PA 18017
Phone (484) 403-1818
909 Walnut St
Fl 2
Philadelphia, PA 19107
Phone (215) 955-1234
909 Walnut St
Philadelphia, PA 19107
Phone (215) 503-7008
925 Chestnut St
Fl 6
Philadelphia, PA 19107
Phone (215) 955-6760
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.
-
- Vascular Surgery Physician
- Bethlehem, PA
- NPI 1477083335
Acute Care
-
- Specialist
- East Stroudsburg, PA
- NPI 1245311067
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1437696000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1568160000000",
"number": "1679958284",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "909 WALNUT ST",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191075211",
"telephone_number": "215-955-1234"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "909 WALNUT ST",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191075211",
"telephone_number": "215-955-1234"
}
],
"practiceLocations": [
{
"address_1": "224 W Tulpehocken St",
"address_2": "Rear 2",
"address_purpose": "LOCATION",
"city": "Philadelphia",
"state": "PA",
"postal_code": "191445001",
"country_code": "US",
"telephone_number": "315-525-4075",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MERCED",
"first_name": "MICHELLE",
"middle_name": "ELIZABETH",
"credential": "CRNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-07-24",
"last_updated": "2019-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2100X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Acute Care",
"state": "PA",
"license": "SP015130",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.