Active NPI
John Paul Bacaltos Mercado, N.P.
- Family Nurse Practitioner
- Reno, NV
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- APRN002196
- Practice address
- 18653 Wedge Pkwy
Reno, NV 89511-3323 - Phone
- (775) 770-7210
- Fax
- (775) 770-7211
- NPI assigned
- Jun 6, 2016
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN62564 | NV | |
| Family Nurse Practitioner | 363LF0000X | APRN002196 | NV | Primary |
Addresses
Primary practice location
18653 Wedge Pkwy
Reno, NV 89511-3323
Mailing address
411 W 6TH St
Reno, NV 89503-4415
Phone (775) 770-7600
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NV
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN62564 | NV | MD | Registered Nurse |
| APRN002196 | NV | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Edwards MD PC | Current | Accepting new patients | |
| Shadow Emergency Physicians PLLC | Nurse Practitioner | Current | Accepting new patients |
| Eds-I Homansky Practices of Nevada PC | Nurse Practitioner | Current | Accepting new patients |
| Shadow Emergency Physicians PLLC | Nurse Practitioner | Current | Accepting new patients |
| Eds-I Homansky Practices of Nevada PC | Nurse Practitioner | Current | Accepting new patients |
Locations
1155 Raiders Way
Henderson, NV 89052
Phone (702) 369-7671
620 Shadow Ln
Las Vegas, NV 89106
Phone (702) 388-4506
360 S Lola Ln
Pahrump, NV 89048
Phone (775) 751-7500
1511 Oppio Ranch Pkwy
Sparks, NV 89436
Phone (775) 567-5400
13737 Noel Rd
Ste 1600
Dallas, TX 75240
Phone (214) 712-2489
Organizations & group practices 5
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.
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Nurse Practitioner
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1465171200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1465948800000",
"number": "1891144374",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "411 W 6TH ST",
"city": "RENO",
"state": "NV",
"postal_code": "895034415",
"telephone_number": "775-770-7600",
"fax_number": "775-770-7880"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18653 WEDGE PKWY",
"city": "RENO",
"state": "NV",
"postal_code": "895113323",
"telephone_number": "775-770-7210",
"fax_number": "775-770-7211"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MERCADO",
"first_name": "JOHN PAUL",
"middle_name": "BACALTOS",
"credential": "N.P.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-06-06",
"last_updated": "2016-06-15",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "NV",
"license": "RN62564",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NV",
"license": "APRN002196",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Reno, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2016; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.