Active NPI
Marcus Allan Perreras Mercado, FNP-C
- Family Nurse Practitioner
- Las Vegas, NV
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 872562
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1607745091 | Other | NV | NV DRIVERS LICENSE |
| NP95000176 | Other | CA | CA BOARD OF NURSING NP LICENSE # |
| 872562 | Other | NV | NV BOARD OF NURSING NP LICENSE # |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA, NV
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
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
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| All Family Care Health PC | Current | Accepting new patients | |
| St. Johns Community Health | Current | Accepting new patients | |
| St. Johns Community Health | Current | Accepting new patients | |
| Healthcare Partners Affiliates Medical Group | Current | Accepting new patients | |
| Pih Health Physicians | Current | Accepting new patients | |
| Care Connect Medical Group | Current | Accepting new patients | |
| St. Johns Community Health | Current | Accepting new patients | |
| Centers for Family Medicine GP | Current | Accepting new patients | |
| Pih Health Physicians | Current | Accepting new patients | |
| Urgent Care Nevada, LLC | Current | Accepting new patients | |
| Healthcare Partners Affiliates Medical Group | Current | 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
- 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.
-
- Urgent Care Clinic/Center
- Henderson, NV
- NPI 1134546575
-
- Internal Medicine Physician
- Las Vegas, NV
- NPI 1578361499
-
- Primary Care Nurse Practitioner
- Los Angeles, CA
- NPI 1134669971
-
- Family Medicine Physician
- Los Alamitos, CA
- NPI 1467598243
-
- Internal Medicine Physician
- Los Angeles, CA
- NPI 1659312593
-
- Family Medicine Physician
- Whittier, CA
- NPI 1609233899
-
- Federally Qualified Health Center (FQHC)
- Los Angeles, CA
- NPI 1073653630
-
- Durable Medical Equipment & Medical Supplies
- Murrieta, CA
- NPI 1760057269
-
- Anesthesiology Physician
- Downey, CA
- NPI 1447931506
-
- Community Health Clinic/Center
- Los Angeles, CA
- NPI 1073363768
-
- Federally Qualified Health Center (FQHC)
- Los Angeles, CA
- NPI 1396981700
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2025; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.