Jessica Lynn Mercado, NP-C | |
3207 Willowcreek Rd Ste A, Portage, IN 46368-5013 | |
(219) 763-3636 | |
(219) 764-2479 |
Full Name | Jessica Lynn Mercado |
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Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 3207 Willowcreek Rd Ste A, Portage, Indiana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1811753320 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 28218667A (Indiana) | Primary |
Entity Name | Upstream Health & Wellness, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1174082523 PECOS PAC ID: 2062754419 Enrollment ID: O20190503002067 |
Mailing Address | Practice Location Address |
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Jessica Lynn Mercado, NP-C 3207 Willowcreek Rd Ste A, Portage, IN 46368-5013 Ph: (219) 763-3636 | Jessica Lynn Mercado, NP-C 3207 Willowcreek Rd Ste A, Portage, IN 46368-5013 Ph: (219) 763-3636 |
Lauren A Ostrowski-winkler, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3564 Scottsdale St, Portage, IN 46368 Phone: 219-763-8112 Fax: 219-764-3251 | |
Roxanne Gayle Robinson, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3691 Willowcreek Rd, Portage, IN 46368 Phone: 219-921-1444 Fax: 219-921-5303 | |
Jeanne B Schramm, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3175 Lancer St, Portage, IN 46368 Phone: 219-762-9571 | |
Sara Elizabeth Berry, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 6450 Us Highway 6, Portage, IN 46368 Phone: 219-763-8112 Fax: 219-764-6348 | |
Sheila Watson, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3170 Willowcreek Rd, Portage, IN 46368 Phone: 219-947-6628 | |
Jessica Rose Baldwin, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 6050 Sterling Creek Rd, Portage, IN 46368 Phone: 219-763-8112 | |
Patricia Evelyn Biel, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3170 Willowcreek Rd, Portage, IN 46368 Phone: 219-947-6385 Fax: 219-703-6787 |