Active NPI
Angela Grace Mercier, F.N.P.
- Family Nurse Practitioner
- Concord, NC
National Provider Identifier
1881029429
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 202109
- Practice address
- 5641 Poplar Tent Rd
Suite 101
Concord, NC 28027-7533 - Phone
- (704) 782-1955
- Fax
- (704) 782-3903
- NPI assigned
- Sep 12, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 5006463 | NC | |
| Family Nurse Practitioner | 363LF0000X | 202109 | NC | Primary |
Addresses
Primary practice location
5641 Poplar Tent Rd
Suite 101
Concord, NC 28027-7533
Mailing address
PO Box 602120
Charlotte, NC 28260-2120
Phone (704) 782-1955
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881029429 | Medicaid | NC |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5006463 | NC | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1378944000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1435708800000",
"number": "1881029429",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 602120",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282602120",
"telephone_number": "704-782-1955",
"fax_number": "704-782-3903"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5641 POPLAR TENT RD",
"address_2": "SUITE 101",
"city": "CONCORD",
"state": "NC",
"postal_code": "280277533",
"telephone_number": "704-782-1955",
"fax_number": "704-782-3903"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MERCIER",
"first_name": "ANGELA",
"middle_name": "GRACE",
"name_prefix": "Mrs.",
"credential": "F.N.P.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-09-12",
"last_updated": "2015-07-01",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NC",
"license": "5006463",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NC",
"license": "202109",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1881029429",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Concord, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.