AUTUMN DAWN MERCER FNP NPI 1669981148

NPI Information

NPI: 1669981148
Provider Name: AUTUMN DAWN MERCER, FNP
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

PECOS Registration: Yes

Address:
825 BENNETT AVE
MEDFORD, OR
ZIP 97504
Phone: (541) 779-5228
Get Directions

Autumn Dawn Mercer, FNP is a family nurse practitioner in Medford, OR with 5 years of experience. Autumn Dawn Mercer, FNP NPI is 1669981148. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

825 BENNETT AVE
MEDFORD, OR
ZIP 97504-715
Phone: (541) 779-5228
Fax: (541) 772-1533

The NPI 1669981148 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 9/27/2017 and was last updated on 6/21/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LF0000X	Nurse Practitioner	Family	202002027NP-PP	OREGON	Yes
2	363LG0600X	Nurse Practitioner	Gerontology	201707776NP-PP	OREGON	No

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	500733407	MEDICAID	OREGON

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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