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Individual provider Active NPI

Jonathan F Mercer, MD

  • Urology Physician
  • Kalispell, MT
National Provider Identifier
1992746192
Registry record updated Oct 4, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
10917 Issued in MT
Practice address
210 Sunnyview LN
Suite 106
Kalispell, MT 59901-3135
Phone
(406) 756-1433
Fax
(406) 756-1446
NPI assigned
Jun 9, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X 10917 MT Primary

Addresses

Primary practice location

210 Sunnyview LN
Suite 106
Kalispell, MT 59901-3135

Mailing address

210 Sunnyview LN
Suite 106
Kalispell, MT 59901-3135
Phone (406) 756-1433

Other identifiers 2

IdentifierTypeStateIssuer
117538MedicaidMT
96746OtherMTBLUE CROSS OF MT

Organizations & group practices 9

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.

Hospital & facility affiliations 18

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 18

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
George Washington University School of Medicine, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Community Hospital of Anaconda 45 clinicians

Practice addresses (Care Compare)

2427 US Hwy 2 E
Kalispell, MT 59901-2309
Phone (406) 756-1433

305 W Pennsylvania Ave
Anaconda, MT 59711-1900
Phone (406) 563-8571

305 W Pennsylvania St
Anaconda, MT 59711-1900

401 W Pennsylvania Ave
Anaconda, MT 59711-1931
Phone (406) 563-8500

Hospital & facility affiliations

  • Community Hospital of Anaconda Hospital, Anaconda, MT, CCN 271335
  • Logan Health Medical Center Hospital, Kalispell, MT, CCN 270051
  • Logan Health - Whitefish Hospital, Whitefish, MT, CCN 271336
  • Cabinet Peaks Medical Center Hospital, Libby, MT, CCN 271320
  • St James Hospital Hospital, Butte, MT, CCN 270017

Procedures performed for Medicare patients

ProcedureNumber of procedures
Prostate resection1-10

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MT
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051108000220 MT Practitioner - Urology 9436143799 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Community Hospital of Anaconda CurrentSince Jan 1, 2016 Accepting new patients
Community Hospital of Anaconda Current Accepting new patients
Community Hospital of Anaconda CurrentSince Jan 1, 2016 Accepting new patients
Community Hospital of Anaconda Current Accepting new patients
Community Hospital of Anaconda Past Accepting new patients

Locations

305 W Pennsylvania Ave
Ste 1
Anaconda, MT 59711
Phone (406) 563-8668

401 W Pennsylvania Ave
Anaconda, MT 59711
Phone (406) 563-5261

305 W Pennsylvania Ave
Anaconda, MT 59711
Phone (406) 563-8571

NPI Registry JSON

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

{
    "created_epoch": "1149811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1349308800000",
    "number": "1992746192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 SUNNYVIEW LN",
            "address_2": "SUITE 106",
            "city": "KALISPELL",
            "state": "MT",
            "postal_code": "599013135",
            "telephone_number": "406-756-1433",
            "fax_number": "406-756-1446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 SUNNYVIEW LN",
            "address_2": "SUITE 106",
            "city": "KALISPELL",
            "state": "MT",
            "postal_code": "599013135",
            "telephone_number": "406-756-1433",
            "fax_number": "406-756-1446"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MERCER",
        "first_name": "JONATHAN",
        "middle_name": "F",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-09",
        "last_updated": "2012-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "MT",
            "license": "10917",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "117538",
            "state": "MT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS OF MT",
            "identifier": "96746",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kalispell, MT

Sources for this page

Verify at the official NPI Registry.