Juan P Mercado, APN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

209008311 Issued in IL

Practice address

164 Division St
607
Elgin, IL 60120-5587

Phone

(847) 695-1093

Fax

(847) 695-0501

NPI assigned

Sep 3, 2010

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

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

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: juan.mercado.p1@direct.hcenter.nextgenshare.com

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.

• McDermott Center

  dba Haymarket Center

  • Federally Qualified Health Center (FQHC)
  • Chicago, IL
  • NPI 1457004046
  Medicare reassignment NPD
• Elmhurst Memorial Healthcare

  dba Elmhurst Clinic

  • Multi-Specialty Clinic/Center
  • Elmhurst, IL
  • NPI 1457493454
  NPD (past)

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

{
    "created_epoch": "1283472000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1314662400000",
    "number": "1962719419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2943 W 71ST ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606293047",
            "telephone_number": "630-842-2614"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "164 DIVISION ST",
            "address_2": "607",
            "city": "ELGIN",
            "state": "IL",
            "postal_code": "601205587",
            "telephone_number": "847-695-1093",
            "fax_number": "847-695-0501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MERCADO",
        "first_name": "JUAN",
        "middle_name": "P",
        "credential": "APN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-09-03",
        "last_updated": "2011-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209008311",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Roxana Mendez, MA
• Ashley Mendoza
• Erick Mendoza, PT
• Olha Mendyuk, FNP-C
• Ann Elisabeth Menner
• Mercy Health System Corporation (Mercy Pediatrics Elgin)
• McKenna Merges, DMD
• Patricia Katherine Merlo, D.O.
• Lynn Rae Mershon, DO
• Messiah Homecare LLC

• Family Nurse Practitioner in Elgin, IL
• Providers in Elgin, IL by specialty
• Family Nurse Practitioner in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2011; 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.

Verify at the official NPI Registry.