Individual provider Active NPI

Jessica Martin-Mercado

  • Psychiatric/Mental Health Nurse Practitioner
  • Clinton, MD
National Provider Identifier
1689475360
Registry record updated Aug 31, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
664334 Issued in NY
Practice address
8861 Branch Ave # 1064
Clinton, MD 20735-2632
Phone
(646) 342-4631
NPI assigned
Mar 20, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 31, 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 664334 NY Primary

Addresses

Primary practice location

8861 Branch Ave # 1064
Clinton, MD 20735-2632

Mailing address

8861 Branch Ave # 1064
Clinton, MD 20735-2632
Phone (646) 342-4631

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
R247932MDMDCase Management Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Openloop Healthcare Partners California PC Current Accepting new patients
Openloop Healthcare Partners California PC Current Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1742428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788134400000",
    "number": "1689475360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8861 BRANCH AVE # 1064",
            "city": "CLINTON",
            "state": "MD",
            "postal_code": "207352632",
            "telephone_number": "646-342-4631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8861 BRANCH AVE # 1064",
            "city": "CLINTON",
            "state": "MD",
            "postal_code": "207352632",
            "telephone_number": "646-342-4631"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN-MERCADO",
        "first_name": "JESSICA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-03-20",
        "last_updated": "2026-08-31",
        "certification_date": "2026-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NY",
            "license": "664334",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clinton, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.