Individual provider Active NPI

Corey Mercer, CRNP

  • Family Nurse Practitioner
  • Enterprise, AL
National Provider Identifier
1750733796
Registry record updated Jul 1, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1-138964 Issued in AL
Practice address
101 E Brunson St Ste 200
Enterprise, AL 36330-2500
Phone
(334) 348-1390
NPI assigned
Jul 1, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2016

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 1-138964 AL Primary

Addresses

Primary practice location

101 E Brunson St Ste 200
Enterprise, AL 36330-2500

Mailing address

101 E Brunson St Ste 200
Enterprise, AL 36330-2500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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
I20160824001991 AL Practitioner - Nurse Practitioner 1951696350 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Professional Medical Associates PCGroup PAC ID 3375574106, 11 clinicians

Practice addresses (Care Compare)

101 E Brunson St
Suite 200
Enterprise, AL 36330-2500
Phone 3343030266194

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Professional Medical Associates PC CurrentSince Aug 1, 2016 Accepting new patients

Locations

101 E Brunson St
Ste 200
Enterprise, AL 36330
Phone (334) 303-0266

Interoperability endpoints

  • Direct secure messaging: chaseandcoreymercer@pma.gwaydirect.com

Organizations & group practices 1

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": "1467331200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1467331200000",
    "number": "1750733796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 E BRUNSON ST STE 200",
            "city": "ENTERPRISE",
            "state": "AL",
            "postal_code": "363302500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 E BRUNSON ST STE 200",
            "city": "ENTERPRISE",
            "state": "AL",
            "postal_code": "363302500",
            "telephone_number": "334-348-1390"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MERCER",
        "first_name": "COREY",
        "name_prefix": "Mrs.",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-07-01",
        "last_updated": "2016-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1-138964",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Enterprise, AL

Sources for this page

Verify at the official NPI Registry.