Seth Mercurio, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

AP60314064 Issued in WA

Practice address

784 14TH Ave
Longview, WA 98632-2315

Phone

(360) 703-6400

Fax

(360) 414-1342

NPI assigned

Oct 4, 2012

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in WA

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, 2012

Medicare assignment

May accept Medicare assignment

Group practices

Cowlitz Family Health CenterGroup PAC ID 5991696395, 21 clinicians

Practice addresses (Care Compare)

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.

• Cowlitz Family Health Center

  • Federally Qualified Health Center (FQHC)
  • Longview, WA
  • NPI 1891724506

  WA

  Medicare reassignment Care Compare group NPD
• Cowlitz Family Health Center

  • Federally Qualified Health Center (FQHC)
  • Castle Rock, WA
  • NPI 1801266481
  Care Compare group NPD
• Cowlitz Family Health Center

  • Federally Qualified Health Center (FQHC)
  • Longview, WA
  • NPI 1962876748
  Care Compare group NPD (past)
• Cowlitz Family Health Center

  • Federally Qualified Health Center (FQHC)
  • Woodland, WA
  • NPI 1053472993
  Care Compare group
• Cowlitz Family Health Center

  • Federally Qualified Health Center (FQHC)
  • Kelso, WA
  • NPI 1366790008
  Care Compare group
• Cowlitz Family Health Center

  • Federally Qualified Health Center (FQHC)
  • Cathlamet, WA
  • NPI 1538497417
  Care Compare group
• Cowlitz Family Health Center

  • Federally Qualified Health Center (FQHC)
  • Longview, WA
  • NPI 1609524164
  Care Compare group
• Cowlitz Family Health Center

  • Federally Qualified Health Center (FQHC)
  • Ocean Park, WA
  • NPI 1891856142
  Care Compare group
• Pacific North Recovery Center, LLC

  • Substance Abuse Rehabilitation Facility
  • Ridgefield, WA
  • NPI 1669837449
  NPD (past)
• Quantum Chiropractic LLC

  • Chiropractor
  • Vancouver, WA
  • NPI 1932326683
  NPD (past)

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

{
    "created_epoch": "1349308800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713484800000",
    "number": "1821340530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1057 12TH AVE",
            "city": "LONGVIEW",
            "state": "WA",
            "postal_code": "986322509",
            "telephone_number": "360-425-9210",
            "fax_number": "360-232-8400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "784 14TH AVE",
            "city": "LONGVIEW",
            "state": "WA",
            "postal_code": "986322315",
            "telephone_number": "360-703-6400",
            "fax_number": "360-414-1342"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MERCURIO",
        "first_name": "SETH",
        "name_prefix": "Mr.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-10-04",
        "last_updated": "2024-04-19",
        "certification_date": "2024-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WA",
            "license": "AP60314064",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2031323",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ian Mendenhall
• Grace Mendez, BA, AAC
• Kristen Mendez, LICSW
• John Paul Liwanag Mendoza, OTD, OTR/L
• Kelly Sinclair Mendoza, MS, PHARMD, BCPS
• Melvin Clyde Merrell, LDO/ABOM
• Renee Chantelle Merrill, PA
• Shane B Merrill, CRNA
• Toni Marie Merritt
• Paige Mershon, BA, R-AAC

• All providers in Longview, WA
• Family Nurse Practitioner in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2024; 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.