NPIMap

Individual provider Active NPI

Ann S Mercer, M.D.

  • Internal Medicine Physician
  • Las Cruces, NM
National Provider Identifier
1811913502
Registry record updated Mar 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
84-79 Issued in NM
Practice address
2801 Missouri Ave
Suite 12
Las Cruces, NM 88011-5075
Phone
(575) 522-6900
NPI assigned
Jul 14, 2006
Last updated
Mar 15, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 15, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 84-79 NM Primary

Addresses

Primary practice location

2801 Missouri Ave
Suite 12
Las Cruces, NM 88011-5075

Mailing address

2801 Missouri Ave
Suite 12
Las Cruces, NM 88011-5075
Phone (575) 522-6900

Other identifiers 1

IdentifierTypeStateIssuer
33407MedicaidNM

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050720000494 NM Practitioner - Internal Medicine 5193752277 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Puerto Rico School of Medicine, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

2801 Missouri Ave
Suite 12
Las Cruces, NM 88011-5061
Phone (505) 522-6900

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue61
Removal of nail tissue18

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
84-79NMMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ann S Mercer MD PA Internal Medicine CurrentSince Nov 1, 2007 Accepting new patients
Del Mercer Internal Medicine Ag-Acnp LLC Current Accepting new patients
Las Cruces Medical Center LLC Past Accepting new patients
PHC-Las Cruces Inc Past Accepting new patients

Locations

2450 S Telshor Blvd
Las Cruces, NM 88011
Phone (505) 522-8641

2801 Missouri Ave
Ste 12
Las Cruces, NM 88011
Phone (505) 522-6900

Organizations & group practices 4

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.

Hospital & facility affiliations 10

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

NPI Registry JSON

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

{
    "created_epoch": "1152835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647302400000",
    "number": "1811913502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2801 MISSOURI AVE",
            "address_2": "SUITE 12",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880115075",
            "telephone_number": "575-522-6900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2801 MISSOURI AVE",
            "address_2": "SUITE 12",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880115075",
            "telephone_number": "575-522-6900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MERCER",
        "first_name": "ANN",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-14",
        "last_updated": "2022-03-15",
        "certification_date": "2022-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NM",
            "license": "84-79",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "33407",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Cruces, NM

Sources for this page

Verify at the official NPI Registry.