Individual provider Active NPI

Carmen Milagros Mercedes, APN

  • Pediatric Nurse Practitioner
  • Trenton, NJ
National Provider Identifier
1992872501
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
F381500 Issued in NY
Practice address
321 N Warren St
Trenton, NJ 08618-4741
Phone
(609) 278-5900
Fax
(609) 396-1526
NPI assigned
Nov 29, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X F381500 NY Primary

Addresses

Primary practice location

321 N Warren St
Trenton, NJ 08618-4741

Mailing address

321 N Warren St
Trenton, NJ 08618-4741
Phone (609) 278-5900

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
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
I20171107002486 NJ Practitioner - Nurse Practitioner 1355607334 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
F381500NYMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Robert Wood Johnson University Hospital, Inc Past Accepting new patients
Henry J Austin Health Center, Inc Past Accepting new patients
Capital Health System, Inc. Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: carmen.mercedes.1@12521.direct.athenahealth.com
  • FHIR API: https://fhir-myrecord.cerner.com/r4/5bb47b8f-8587-42a0-80df-8d4eecf69db3/

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": "1164758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1992872501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "321 N WARREN ST",
            "city": "TRENTON",
            "state": "NJ",
            "postal_code": "086184741",
            "telephone_number": "609-278-5900",
            "fax_number": "609-396-1526"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "321 N WARREN ST",
            "city": "TRENTON",
            "state": "NJ",
            "postal_code": "086184741",
            "telephone_number": "609-278-5900",
            "fax_number": "609-396-1526"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MERCEDES",
        "first_name": "CARMEN",
        "middle_name": "MILAGROS",
        "name_prefix": "Miss",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-29",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "NY",
            "license": "F381500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Trenton, NJ

Sources for this page

Verify at the official NPI Registry.