Individual provider Active NPI

Abigail E Mercure, ARNP

  • Family Nurse Practitioner
  • Kent, WA
National Provider Identifier
1740889369
Registry record updated Jun 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP61081093 Issued in WA
Practice address
6811 S 204TH St Ste 280
Kent, WA 98032-1352
Phone
(888) 674-5871
Fax
(206) 694-2291
NPI assigned
Oct 24, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP61081093 WA Primary

Addresses

Primary practice location

6811 S 204TH St Ste 280
Kent, WA 98032-1352

Mailing address

6811 S 204TH St Ste 280
Kent, WA 98032-1352
Phone (888) 674-5871

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
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

Enrollment IDStateProvider typePAC IDDetails
I20210609003081 WA Practitioner - Nurse Practitioner 3375943590 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Washington State University Elson S Floyd College of Medicine, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sea Mar Community Health CentersGroup PAC ID 7315831161, 235 clinicians

Practice addresses (Care Compare)

597 Point Brown Ave NW
Ocean Shores, WA 98569-9632
Phone (360) 289-2427

Hospital & facility affiliations

  • Harbors Home Health / Hospice Home health agency, Hoquiam, WA, CCN 507020
  • Assured Home Health and Hospice Home health agency, Centralia, WA, CCN 507042
  • Grays Harbor Community Hospital Hospital, Aberdeen, WA, CCN 500031
  • Summit Pacific Medical Center Hospital, Elma, WA, CCN 501304

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP61081093WAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Sea Mar Community Health Centers CurrentSince Dec 12, 2023 Accepting new patients
Sea-Mar Community Health Center CurrentSince Dec 12, 2023 Accepting new patients
Innovative Sleep Centers PLLC CurrentSince Mar 1, 2023 Accepting new patients
Sea Mar Community Health Centers Family Current Accepting new patients
Sea-Mar Community Health Center Past Accepting new patients

Locations

954 Anderson Dr
Ste 101A
Aberdeen, WA 98520
Phone (360) 612-3069

22118 20th Ave SE
Ste G139
Bothell, WA 98021

1400 N Laventure Rd
Mount Vernon, WA 98273
Phone (360) 428-4075

597 Point Brown Ave NW
Ocean Shores, WA 98569
Phone (360) 289-2427

260 Lee St SW
Tumwater, WA 98501
Phone (360) 459-5900

17924 140th Ave NE
Ste 100
Woodinville, WA 98072
Phone (425) 402-4263

Interoperability endpoints

  • Direct secure messaging: amercure747012@direct.multicare.org

Organizations & group practices 5

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1603497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623715200000",
    "number": "1740889369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6811 S 204TH ST STE 280",
            "city": "KENT",
            "state": "WA",
            "postal_code": "980321352",
            "telephone_number": "888-674-5871",
            "fax_number": "206-694-2291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6811 S 204TH ST STE 280",
            "city": "KENT",
            "state": "WA",
            "postal_code": "980321352",
            "telephone_number": "888-674-5871",
            "fax_number": "206-694-2291"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MERCURE",
        "first_name": "ABIGAIL",
        "middle_name": "E",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-24",
        "last_updated": "2021-06-15",
        "certification_date": "2021-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WA",
            "license": "AP61081093",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kent, WA

Sources for this page

Verify at the official NPI Registry.