Active NPI
Stacey McLeod Mercadante, APRN
- Family Nurse Practitioner
- Lakeland, FL
National Provider Identifier
1992451637
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- APRN11017667
- Practice address
- 1600 Lakeland Hills Blvd
Lakeland, FL 33805-3019 - Phone
- (863) 680-7000
- Fax
- (866) 264-8519
- NPI assigned
- Feb 22, 2022
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | APRN11017667 | FL | Primary |
Addresses
Primary practice location
1600 Lakeland Hills Blvd
Lakeland, FL 33805-3019
Mailing address
1007 Euclid Ave
Lakeland, FL 33801-5813
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220322002356 | FL | Practitioner - Nurse Practitioner | 2567857972 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Lakeland Regional Health Systems Inc
Practice addresses (Care Compare)
1324 Lakeland Hill Blvd
Lakeland, FL 33805-4543
Phone (863) 687-1100
Merit-based Incentive Payment System (MIPS)
- Final score
- 86.12 of 100
- Quality
- 64.08
- Promoting interoperability
- 98
- Improvement activities
- 40
- Cost
- 76.83
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lakeland Regional Health Systems, Inc. | Current | Accepting new patients |
Locations
1600 Lakeland Hills Blvd
Lakeland, FL 33805
Phone (863) 680-7190
3525 Lakeland Hills Blvd
Lakeland, FL 33805
Phone (863) 603-6565
1324 Lakeland Hills Blvd
Lakeland, FL 33805
Phone (863) 687-1132
Interoperability endpoints
- smercadante51168@lrhs.direct-ci.com
Organizations & group practices 1
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": "1645488000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1674518400000",
"number": "1992451637",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1007 EUCLID AVE",
"city": "LAKELAND",
"state": "FL",
"postal_code": "338015813"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1600 LAKELAND HILLS BLVD",
"city": "LAKELAND",
"state": "FL",
"postal_code": "338053019",
"telephone_number": "863-680-7000",
"fax_number": "866-264-8519"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MERCADANTE",
"first_name": "STACEY",
"middle_name": "MCLEOD",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-02-22",
"last_updated": "2023-01-24",
"certification_date": "2023-01-24",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "FL",
"license": "APRN11017667",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lakeland, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2023; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.