Active NPI
Mercedes Dick
- Registered Nurse
- Wausau, WI
National Provider Identifier
1922819846
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 1105262-30
- Practice address
- 333 Pine Ridge Blvd
Wausau, WI 54401-4102 - Phone
- (800) 283-2881
- NPI assigned
- Jan 20, 2025
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 1105262-30 | WI | Primary |
Addresses
Primary practice location
333 Pine Ridge Blvd
Wausau, WI 54401-4102
Mailing address
156883 E Wausau Ave
Wausau, WI 54403-5565
Phone (715) 305-8520
Other names 1
- Mercedes Degrand
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1105262-30 | WI | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1737331200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1737331200000",
"number": "1922819846",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "156883 E WAUSAU AVE",
"city": "WAUSAU",
"state": "WI",
"postal_code": "544035565",
"telephone_number": "715-305-8520"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "333 PINE RIDGE BLVD",
"city": "WAUSAU",
"state": "WI",
"postal_code": "544014102",
"telephone_number": "800-283-2881"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DICK",
"first_name": "MERCEDES",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-01-20",
"last_updated": "2025-01-20",
"certification_date": "2025-01-19",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "WI",
"license": "1105262-30",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MERCEDES",
"last_name": "DEGRAND",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Wausau, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.