Active NPI
John Russell Mercke Jr., MD
- Family Medicine Physician
- Leesville, LA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 328002
- Practice address
- 1020 W Fertitta Blvd
Leesville, LA 71446-4645 - Phone
- (337) 392-6203
- NPI assigned
- Mar 31, 2018
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 328002 | LA | Primary |
Addresses
Primary practice location
1020 W Fertitta Blvd
Leesville, LA 71446-4645
Mailing address
700 S 6TH St
Leesville, LA 71446-4719
Phone (373) 926-2033
Other practice location 1
301 4th St
Alexandria, LA 71301-8411
Phone (318) 441-1030
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in LA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210729001894 | LA | Practitioner - Family Practice | 1456602937 | Reassigns benefits to 6 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Leatherwood Emergency Group LLCCalcasieu Cameron Hospital Medicine Group LLCCentral Louisiana Physicians, LLCCLHG-Oakdale LLC
Practice addresses (Care Compare)
130 Hospital Dr
Oakdale, LA 71463-3035
Phone (318) 215-3084
211 4TH St
Alexandria, LA 71301-8421
Phone (484) 965-9566
3330 Masonic Dr
Alexandria, LA 71301-3841
Phone (318) 487-1122
400 E 6TH Ave
Oakdale, LA 71463-2628
Phone (318) 315-7093
Hospital & facility affiliations
- Christus St Frances Cabrini Hospital
- Oakdale Community Hospital
- Rapides Regional Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Glen D. Hurlston, M.D., Apmc | Current | Accepting new patients | |
| Calcasieu Cameron Hospital Medicine Group LLC | Current | Accepting new patients | |
| CLHG-Oakdale LLC | Family Medicine | Current | Accepting new patients |
| Leatherwood Emergency Group, LLC | Current | Accepting new patients | |
| Byrd Medical Clinic Inc | Family Medicine | Current | Accepting new patients |
| CLHG-Oakdale, LLC | Family Medicine | Current | Accepting new patients |
| CLHG-Oakdale LLC | Family Medicine | Current | Accepting new patients |
| Central Louisiana Physicians, LLC | Current | Accepting new patients | |
| Christus Health Central Louisiana | Past | Accepting new patients | |
| GPN-Leesville, LLC | Family Medicine | Past | Accepting new patients |
Locations
3330 Masonic Dr
Alexandria, LA 71301
Phone (318) 448-6917
211 4th St
Alexandria, LA 71301
Phone (318) 473-3000
700 S 6th St
Leesville, LA 71446
Phone (337) 238-0620
1020 W Fertitta Blvd
Leesville, LA 71446
Phone (337) 239-5278
1017 W Fertitta Blvd
Leesville, LA 71446
Phone (337) 239-2606
400 E 6th Ave
Oakdale, LA 71463
Phone (318) 335-3501
130 Hospital Dr
Oakdale, LA 71463
Phone (318) 215-3084
701 Cypress St
Sulphur, LA 70663
Phone (337) 527-4270
Interoperability endpoints
- jmercke406739@christushealth.direct-ci.net
Organizations & group practices 14
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.
-
- General Acute Care Hospital
- Oakdale, LA
- NPI 1104873710
-
- Rural Health Clinic/Center
- Oakdale, LA
- NPI 1205930450
-
- Medicare Defined Swing Bed Hospital Unit
- Oakdale, LA
- NPI 1376580332
-
- Rural Health Clinic/Center
- Oakdale, LA
- NPI 1730628975
Hospital & facility affiliations 22
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Student Health Clinic/Center
- Pineville, LA
- NPI 1023139458
Hospital
-
- Student Health Clinic/Center
- Pineville, LA
- NPI 1093836421
Hospital
-
- Student Health Clinic/Center
- Provencal, LA
- NPI 1164687307
Hospital
-
- Student Health Clinic/Center
- Natchitoches, LA
- NPI 1356462782
Hospital
-
- Student Health Clinic/Center
- Marthaville, LA
- NPI 1609031962
Hospital
-
- General Acute Care Hospital
- Alexandria, LA
- NPI 1639160799
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1522454400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1633651200000",
"number": "1821594763",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "700 S 6TH ST",
"city": "LEESVILLE",
"state": "LA",
"postal_code": "714464719",
"telephone_number": "373-926-2033"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1020 W FERTITTA BLVD",
"city": "LEESVILLE",
"state": "LA",
"postal_code": "714464645",
"telephone_number": "337-392-6203"
}
],
"practiceLocations": [
{
"address_1": "301 4th St",
"address_purpose": "LOCATION",
"city": "Alexandria",
"state": "LA",
"postal_code": "713018411",
"country_code": "US",
"telephone_number": "318-441-1030",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MERCKE",
"first_name": "JOHN",
"middle_name": "RUSSELL",
"name_suffix": "Jr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2018-03-31",
"last_updated": "2021-10-08",
"certification_date": "2021-07-29",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "LA",
"license": "328002",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Leesville, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2021; 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.