Aundrea Shalise Merchant, APRN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

APRN11004282 Issued in FL

Practice address

111 Clock Tower CMNS
Brewster, NY 10509-4055

Phone

(845) 279-5187

Fax

(845) 279-5168

NPI assigned

Oct 23, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other names 1

• Aundrea Sponsel Professional name

Medicare fee-for-service enrollment

Enrolled in FL

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/JICADA
• Direct secure messaging: ms_asponsel@landmarkhealth-direct.org

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.

• Balanced Wellbeing LLC

  • Psychiatry Physician
  • Ocala, FL
  • NPI 1336513639

  Single Specialty

  Medicare reassignment NPD
• Duo Medical Group of Florida LLC

  • Geriatric Medicine (Internal Medicine) Physician
  • Port Richey, FL
  • NPI 1043097769

  Single Specialty

  Medicare reassignment NPD
• MCR Health, Inc.

  • Federally Qualified Health Center (FQHC)
  • Parrish, FL
  • NPI 1255376000

  Single Specialty

  Medicare reassignment NPD
• WCS Professional Services of Florida, LLC

  • Nurse Practitioner
  • Metairie, LA
  • NPI 1659782415

  FL, Single Specialty

  Medicare reassignment NPD
• Hickory Care LLC

  • Internal Medicine Physician
  • Maitland, FL
  • NPI 1124899869

  Single Specialty

  NPD
• Kay Primary Care Inc

  • Family Medicine Physician
  • Tarpon Springs, FL
  • NPI 1235656992

  Single Specialty

  NPD
• MCR Health, Inc.

  • Non-Pharmacy Dispensing Site
  • Bradenton, FL
  • NPI 1821878745
  NPD
• Restorixhealth at-Home, LLC

  • Nurse Practitioner
  • Metairie, LA
  • NPI 1255974689

  Single Specialty

  NPD
• Access Health Care LLC

  • Family Medicine Physician
  • Beverly Hills, FL
  • NPI 1043453020
  NPD (past)

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

{
    "created_epoch": "1571788800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730419200000",
    "number": "1740823723",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 958",
            "city": "TARPON SPRINGS",
            "state": "FL",
            "postal_code": "346880958",
            "telephone_number": "727-487-7066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 CLOCK TOWER CMNS",
            "city": "BREWSTER",
            "state": "NY",
            "postal_code": "105094055",
            "telephone_number": "845-279-5187",
            "fax_number": "845-279-5168"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "198 Route 22 Ste 7",
            "address_purpose": "LOCATION",
            "city": "Pawling",
            "state": "NY",
            "postal_code": "125643242",
            "country_code": "US",
            "telephone_number": "845-855-3610",
            "fax_number": "845-279-5168",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "955 E Martin Luther King Jr Dr Ste E",
            "address_purpose": "LOCATION",
            "city": "Tarpon Springs",
            "state": "FL",
            "postal_code": "346894803",
            "country_code": "US",
            "telephone_number": "727-487-7066",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MERCHANT",
        "first_name": "AUNDREA",
        "middle_name": "SHALISE",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-10-23",
        "last_updated": "2024-11-01",
        "certification_date": "2024-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "APRN11004282",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11004282",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "353980",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AUNDREA",
            "last_name": "SPONSEL",
            "credential": "APRN, FNP-BC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Diana Mejias-Bergmeier, PSY.D.
• Mark J Melkonian, DDS
• Marina Mellon, MS, CCC-SLP/TSSLD
• Melody T. Bautista PT
• Mental Health Association in Putnam County, Inc
• Jeffrey Michaelis, M.D.
• Dawn M Michaud, P.T.
• Lynne Ewing Miller, MD
• Amanda Marie Mills
• Amy Moia, BCBA, MA

• Family Nurse Practitioner in Brewster, NY
• Providers in Brewster, NY by specialty
• Family Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2024; 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.

Verify at the official NPI Registry.