Individual provider Active NPI

Mercedes Nilsa Fernandez, NP

  • Adult Health Nurse Practitioner
  • Tampa, FL
National Provider Identifier
1801162722
Registry record updated Jan 24, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
ARNP3286032 Issued in FL
Practice address
4308 N Habana Ave
Tampa, FL 33607-6316
Phone
(813) 490-9495
NPI assigned
Mar 25, 2012
Last updated
Jan 24, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X APRN3286032 FL
Adult Health Nurse Practitioner 363LA2200X ARNP3286032 FL Primary

Addresses

Primary practice location

4308 N Habana Ave
Tampa, FL 33607-6316

Mailing address

3107 N Perry Ave
Tampa, FL 33603-5346
Phone (813) 598-8636

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20190529001244 FL Practitioner - Nurse Practitioner 5597008995 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

119 Oakfeild Dr
Brandon, FL 33511
Phone (813) 681-5551

4308 N Habana Ave
Tampa, FL 33607-6362
Phone (813) 654-8100

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN3286032FLMDAdult Health Nurse Practitioner
ARNP3286032FLMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Pulmonary & Sleep of Tampa Bay PL CurrentSince Apr 7, 2019 Accepting new patients
Pulmonary & Sleep of Tampa Bay PL CurrentSince Apr 7, 2019 Accepting new patients

Locations

311 Noland Dr
Brandon, FL 33511
Phone (813) 654-8100

4308 N Habana Ave
Tampa, FL 33607
Phone (813) 490-9495

2329 Crestover Ln
Ste 101
Wesley Chapel, FL 33544
Phone (813) 654-8100

Interoperability endpoints

  • Direct secure messaging: mercedes.fernandez@pstb.eclinicaldirectplus.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1332633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548288000000",
    "number": "1801162722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3107 N PERRY AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336035346",
            "telephone_number": "813-598-8636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4308 N HABANA AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336076316",
            "telephone_number": "813-490-9495"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERNANDEZ",
        "first_name": "MERCEDES",
        "middle_name": "NILSA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-03-25",
        "last_updated": "2019-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "FL",
            "license": "APRN3286032",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "FL",
            "license": "ARNP3286032",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

Verify at the official NPI Registry.