Lisa Maria Mercado

Primary specialty

Gerontology Nurse PractitionerTaxonomy code 363LG0600X

License

APRN11009748 Issued in FL

Practice address

720 E New Haven Ave Ste 11
Melbourne, FL 32901-5474

Phone

(321) 724-4545

Fax

(321) 728-4168

NPI assigned

Oct 16, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Amicus Physician Services, Inc.Group PAC ID 9931483104, 2 clinicians

Florida Rehab Specialists, PLLCGroup PAC ID 5890155279, 82 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Cleveland Clinic Indian River Hospital Hospital, Vero Beach, FL, CCN 100105

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as individual

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

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.

• Amicus Physician Services, Inc.

  • Internal Medicine Physician
  • Palm Bay, FL
  • NPI 1740726116
  Medicare reassignment Care Compare group NPD
• Florida Rehab Specialists, PLLC

  • Adult Medicine Physician
  • Williston, FL
  • NPI 1447941984
  Medicare reassignment Care Compare group NPD
• Rupala Ghanshyam LLC

  • Nephrology Physician
  • Melbourne, FL
  • NPI 1033956156
  Medicare reassignment
• Brevard Geriatrics, LLC

  • Geriatric Medicine (Family Medicine) Physician
  • Melbourne, FL
  • NPI 1225682784
  NPD

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

• Indian River Memorial Hospital Inc

  • General Acute Care Hospital
  • Vero Beach, FL
  • NPI 1376512988
  Care Compare affiliation

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

{
    "created_epoch": "1602806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653004800000",
    "number": "1770181182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "720 E NEW HAVEN AVE STE 11",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329015474",
            "telephone_number": "321-724-4545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "720 E NEW HAVEN AVE STE 11",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329015474",
            "telephone_number": "321-724-4545",
            "fax_number": "321-728-4168"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MERCADO",
        "first_name": "LISA",
        "middle_name": "MARIA",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-16",
        "last_updated": "2022-05-20",
        "certification_date": "2022-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "FL",
            "license": "APRN11009748",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mayra I. Mendoza-Rodriguez, M.D.
• Pamela Liza Mendoza, P.T.
• Sheila Dawn Menendez
• Brianne Mengel
• Karen Menges
• Maxi Inez Mercado, APRN
• Meridian Wellness Center
• Antoinette Merlet
• Merrill-Rinaldi Chiropractic Center, PA
• Andre J. Merrill, D.C.

• Gerontology Nurse Practitioner in Melbourne, FL
• Providers in Melbourne, FL by specialty
• Gerontology Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2022; 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.

Verify at the official NPI Registry.