Individual provider Active NPI

Kristine Glory Flores Mercene, MD

  • Student in an Organized Health Care Education/Training Program
  • Langhorne, PA
National Provider Identifier
1982447389
Registry record updated Apr 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X
Practice address
1201 Langhorne Newtown Rd Ste 1
Langhorne, PA 19047-1295
Phone
(215) 710-6848
NPI assigned
Jun 14, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X PA Primary
Internal Medicine Physician 207R00000X 125084237 IL

Addresses

Primary practice location

1201 Langhorne Newtown Rd Ste 1
Langhorne, PA 19047-1295

Mailing address

2050 W Ogden Ave Apt 707
Chicago, IL 60612-5608
Phone (909) 550-9880

Other practice location 1

1500 S Fairfield Ave # F-908
Chicago, IL 60608-1782
Phone (773) 257-5701

Other names 1

  • Kristine Glory Sanchez Flores Former name

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
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
125084237ILMDInternal Medicine Physician

Interoperability endpoints

  • Direct secure messaging: kmercene4414105@direct.trinity-health.org

NPI Registry JSON

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

{
    "created_epoch": "1718323200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744156800000",
    "number": "1982447389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2050 W OGDEN AVE APT 707",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606125608",
            "telephone_number": "909-550-9880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 LANGHORNE NEWTOWN RD STE 1",
            "city": "LANGHORNE",
            "state": "PA",
            "postal_code": "190471295",
            "telephone_number": "215-710-6848"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1500 S Fairfield Ave # F-908",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606081782",
            "country_code": "US",
            "telephone_number": "773-257-5701",
            "fax_number": "773-257-6027",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MERCENE",
        "first_name": "KRISTINE GLORY",
        "middle_name": "FLORES",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-06-14",
        "last_updated": "2025-04-09",
        "certification_date": "2025-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "PA",
            "license": null,
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "125084237",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRISTINE GLORY",
            "last_name": "FLORES",
            "middle_name": "SANCHEZ",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Langhorne, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 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.

Verify at the official NPI Registry.