Kristin Mercier, PA
Individual provider Active NPI Physician Assistant · Weed, CA
NPI 1689436636 · NPPES record last updated Jan 25, 2024
Key facts
- NPI
- 1689436636
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- Practice address
- 16337 Everhart Dr
Weed, CA 96094-9400 - Phone
- (530) 938-2297
- NPI assigned
- Jan 25, 2024
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240520003399 | CA | Order and Referring Only - Physician Assistant | 3375985518 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 64254 | CA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dignity Health | Past | Accepting new patients | |
| Dignity Health | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | Yes |
Addresses
Primary practice location
16337 Everhart Dr
Weed, CA 96094-9400
Mailing address
102 W Maiden LN
Oak Ridge, TN 37830-5319
Other providers in Weed, CA
- Donnetta Leann Kinney
- Joshua Kure
- Lake Shastina Medical Clinic Inc
- Jenna Lynn Henson Marshall
- Theresa Anne Maurer
- Meridian Health Services Corporation
- Jill C Miller
- Mountain Valleys Health Centers
- Zachary James Myers
- Jeffrey Alexander Ott
All providers in Weed, CA · Physician Assistant in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 25, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.