Individual provider Active NPI

Elizabeth Mercurio

  • Physician Assistant
  • Rapid City, SD
National Provider Identifier
1780110767
Registry record updated May 11, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
1082 Issued in SD
Practice address
2905 5TH St
Rapid City, SD 57701-7316
Phone
(605) 341-7337
NPI assigned
May 11, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 11, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 1082 SD Primary

Addresses

Primary practice location

2905 5TH St
Rapid City, SD 57701-7316

Mailing address

3741 City View Dr
Rapid City, SD 57701-2362
Phone (330) 741-0550

Other names 1

  • Elizabeth Marie Robinson Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
1082SDMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
STC Emergency Physicians PA CurrentSince Mar 1, 2020 Accepting new patients
West Texas Urgent Care LLC Past Accepting new patients

Locations

101 W Renner Rd
Ste 140
Richardson, TX 75082

2810 S Interstate 35
San Marcos, TX 78666
Phone (512) 392-7800

Organizations & group practices 2

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": "1494460800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1494460800000",
    "number": "1780110767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3741 CITY VIEW DR",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577012362",
            "telephone_number": "330-741-0550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2905 5TH ST",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577017316",
            "telephone_number": "605-341-7337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MERCURIO",
        "first_name": "ELIZABETH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-05-11",
        "last_updated": "2017-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "SD",
            "license": "1082",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELIZABETH",
            "last_name": "ROBINSON",
            "middle_name": "MARIE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Rapid City, SD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.