Individual provider Active NPI

Marcus Allan Perreras Mercado, FNP-C

  • Family Nurse Practitioner
  • Las Vegas, NV
National Provider Identifier
1760896336
Registry record updated Apr 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
872562 Issued in NV
Practice address
384 Wind Poppy St
Las Vegas, NV 89138-6265
Phone
(310) 920-1130
NPI assigned
Jun 11, 2014
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 23, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 95000176 CA
Family Nurse Practitioner 363LF0000X 872562 NV Primary

Addresses

Primary practice location

384 Wind Poppy St
Las Vegas, NV 89138-6265

Mailing address

384 Wind Poppy St
Las Vegas, NV 89138-6265

Other identifiers 3

IdentifierTypeStateIssuer
1607745091OtherNVNV DRIVERS LICENSE
NP95000176OtherCACA BOARD OF NURSING NP LICENSE #
872562OtherNVNV BOARD OF NURSING NP LICENSE #

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, NV2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20180326001596 CA Practitioner - Nurse Practitioner 0648532903 Reassigns benefits to 5 organizations
I20250612000585 NV Practitioner - Nurse Practitioner 0648532903 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Urgent Care Nevada LLCGroup PAC ID 7012137037, 106 clinicians

Practice addresses (Care Compare)

10030 W Sahara Ave
Las Vegas, NV 89117-6013
Phone (702) 570-8105

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
All Family Care Health PC CurrentSince Feb 1, 2025 Accepting new patients
St. Johns Community Health CurrentSince Feb 14, 2018 Accepting new patients
St. Johns Community Health Current Accepting new patients
Healthcare Partners Affiliates Medical Group CurrentSince Oct 21, 2022 Accepting new patients
Pih Health Physicians CurrentSince Apr 1, 2020 Accepting new patients
Care Connect Medical Group CurrentSince Sep 25, 2018 Accepting new patients
St. Johns Community Health CurrentSince Feb 14, 2018 Accepting new patients
Centers for Family Medicine GP CurrentSince Nov 1, 2023 Accepting new patients
Pih Health Physicians CurrentSince Apr 1, 2020 Accepting new patients
Urgent Care Nevada, LLC CurrentSince Jul 1, 2025 Accepting new patients
Healthcare Partners Affiliates Medical Group CurrentSince Oct 21, 2022 Accepting new patients

Locations

1236 N Magnolia Ave
Anaheim, CA 92801
Phone (714) 995-1000

5957 W Ramsey St
Banning, CA 92220
Phone (951) 845-8864

824 E Carson St
Ste 104
Carson, CA 90745
Phone (310) 830-9706

2115 N Wilmington Ave
Compton, CA 90222
Phone (310) 603-1332

2175 Park Pl
El Segundo, CA 90245
Phone (310) 345-4200

436 W Colorado St
Ste 210C
Glendale, CA 91204
Phone (866) 227-3310

12675 La Mirada Blvd
Ste 201401
La Mirada, CA 90638
Phone (562) 903-7339

3460 Katella Ave
Los Alamitos, CA 90720
Phone (310) 594-6599

1700 N Waterman Ave
Sn Bernrdno, CA 92404
Phone (909) 883-8611

15733 Whittier Blvd
Whittier, CA 90603
Phone (562) 947-7754

10030 W Sahara Ave
Las Vegas, NV 89117
Phone (702) 570-8105

3311 S Rainbow Blvd
Ste 108
Las Vegas, NV 89146
Phone (702) 703-5597

2202 W Craig Rd
North Las Vegas, NV 89032
Phone (702) 826-3200

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: mmercado24150@epiclp.direct-ci.com

Organizations & group practices 11

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": "1402444800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745366400000",
    "number": "1760896336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "384 WIND POPPY ST",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891386265"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "384 WIND POPPY ST",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891386265",
            "telephone_number": "310-920-1130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MERCADO",
        "first_name": "MARCUS ALLAN",
        "middle_name": "PERRERAS",
        "name_prefix": "Mr.",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-06-11",
        "last_updated": "2025-04-23",
        "certification_date": "2025-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95000176",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NV",
            "license": "872562",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NV DRIVERS LICENSE",
            "identifier": "1607745091",
            "state": "NV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CA BOARD OF NURSING NP LICENSE #",
            "identifier": "NP95000176",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NV BOARD OF NURSING NP LICENSE #",
            "identifier": "872562",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.