Individual provider Active NPI

Mercedes A Sundy, PA-C

  • Physician Assistant
  • Waterford, PA
National Provider Identifier
1891062733
Registry record updated Nov 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
MA056820 Issued in PA
Practice address
991 Route 19 N Ste B
Waterford, PA 16441-9739
Phone
(814) 877-8790
Fax
(814) 877-8792
NPI assigned
Nov 21, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 29, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X OA005952 PA
Physician Assistant 363A00000X MA056820 PA Primary

Addresses

Primary practice location

991 Route 19 N Ste B
Waterford, PA 16441-9739

Mailing address

991 Route 19 N Ste B
Waterford, PA 16441-9739
Phone (814) 877-8790

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20140813001060 PA Practitioner - Physician Assistant 8729240585 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Saint Vincent Consultants in Cardiovascular DiseasesGroup PAC ID 7214124221, 27 clinicians

Practice addresses (Care Compare)

2315 Myrtle St
Suite 190
Erie, PA 16502-4602

2315 Myrtle St
Suite 190
Erie, PA 16502-4604
Phone (814) 453-7767

Hospital & facility affiliations

  • Saint Vincent Hospital Hospital, Erie, PA, CCN 390009
  • Westfield Memorial Hospital, Inc Hospital, Westfield, NY, CCN 330801
  • Meadville Medical Center Hospital, Meadville, PA, CCN 390113

Merit-based Incentive Payment System (MIPS)

Final score
93.9 of 100Reported as apm
Quality
85.02
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
MA056820PAMDPhysician Assistant
OA005952PAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
St Vincent Medical Education and Research Institute Inc PastSince Jun 29, 2025 Accepting new patients
Jyothi Gadde MD PA Past Accepting new patients

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 and National Provider Directory roles.

Hospital & facility affiliations 3

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": "1321833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638144000000",
    "number": "1891062733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "991 ROUTE 19 N STE B",
            "city": "WATERFORD",
            "state": "PA",
            "postal_code": "164419739",
            "telephone_number": "814-877-8790",
            "fax_number": "814-877-8792"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "991 ROUTE 19 N STE B",
            "city": "WATERFORD",
            "state": "PA",
            "postal_code": "164419739",
            "telephone_number": "814-877-8790",
            "fax_number": "814-877-8792"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUNDY",
        "first_name": "MERCEDES",
        "middle_name": "A",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-11-21",
        "last_updated": "2021-11-29",
        "certification_date": "2021-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "OA005952",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "MA056820",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waterford, PA

Sources for this page

Verify at the official NPI Registry.