Individual provider Active NPI

Mercy Miantona

  • Psychiatric/Mental Health Nurse Practitioner
  • Maplewood, MN
National Provider Identifier
1952838997
Registry record updated Sep 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
5144 Issued in MN
Practice address
2785 White Bear Ave N Ste 105
Maplewood, MN 55109-1320
Phone
(651) 433-7207
Fax
(651) 410-1502
NPI assigned
May 22, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 12, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X F05170156 MN
Psychiatric/Mental Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP0808X 5144 MN Primary

Addresses

Primary practice location

2785 White Bear Ave N Ste 105
Maplewood, MN 55109-1320

Mailing address

2785 White Bear Ave N Ste 105
Maplewood, MN 55109-1320
Phone (651) 433-7207

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
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
I20170812000396 MN Practitioner - Nurse Practitioner 6103197967 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Ramsey County Mental Health CenterGroup PAC ID 5092627000, 25 clinicians
Synergen Behavioral Health, P.a.Group PAC ID 3678998796, 2 clinicians

Practice addresses (Care Compare)

1919 University Ave W
Suite 200
Saint Paul, MN 55104-3435
Phone (651) 523-7999

2785 White Bear Ave N
Suite 105
Maplewood, MN 55109-1320
Phone (651) 433-7207

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
5144MNMDPhysical Therapist
F05170156MNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Synergen Behavioral Health, P.a. Single Specialty CurrentSince May 1, 2020 Accepting new patients
Ramsey County Mental Health Center Single Specialty Current Accepting new patients
Ramsey County Mental Health Center CurrentSince May 5, 2022 Accepting new patients
Ramsey County Adult Mental Health CurrentSince May 5, 2022 Accepting new patients

Locations

1919 University Ave W
Ste 20
Saint Paul, MN 55104

2785 White Bear Ave N
Ste 105
Saint Paul, MN 55109
Phone (651) 433-7207

1919 University Ave W
Ste 200
Saint Paul, MN 55104
Phone (651) 266-7999

1310 Highway 96 E
Ste 200
White Bear Lk, MN 55110
Phone (651) 426-3071

Interoperability endpoints

  • Direct secure messaging: mercy.miantona.p4@direct.ramseysocialservices.nextgenshare.com
  • Direct secure messaging: mercy.miantona.p3@direct.ramseysocialservices.nextgenshare.com
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1495411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757635200000",
    "number": "1952838997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2785 WHITE BEAR AVE N STE 105",
            "city": "MAPLEWOOD",
            "state": "MN",
            "postal_code": "551091320",
            "telephone_number": "651-433-7207",
            "fax_number": "651-410-1502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2785 WHITE BEAR AVE N STE 105",
            "city": "MAPLEWOOD",
            "state": "MN",
            "postal_code": "551091320",
            "telephone_number": "651-433-7207",
            "fax_number": "651-410-1502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIANTONA",
        "first_name": "MERCY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-05-22",
        "last_updated": "2025-09-12",
        "certification_date": "2025-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MN",
            "license": "F05170156",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MN",
            "license": "5144",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Maplewood, MN

Sources for this page

Verify at the official NPI Registry.