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MERCEDES MARIA PECK
NPI 1003511320
Student in an Organized Health Care Education/Training Program in Bradenton, FL

Active since April 04, 2023PECOS Enrolled
206 2ND ST E, BRADENTON, FL 34208(941) 745-7257 Get Directions Write a Review

NPPES record last updated: April 5, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Mercedes Maria Peck NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MERCEDES MARIA PECK (NPI 1003511320) is an individual student in an organized health care education/training program in Bradenton, Florida and active in the NPI registry since April 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2014).

NPPES Registry Identity

NPI1003511320
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameMERCEDES MARIA PECK
Location Address206 2ND ST EBradenton, FL 34208-1042
Mailing Address206 2nd St EBradenton, FL 34208-1000 · (941) 745-7257
Phone(941) 745-7257
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateApril 4, 2023
Last NPPES UpdateApril 5, 2023
NPPES CertifiedApril 5, 2023
✔ NPI 1003511320 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
206 2ND ST E, Bradenton, FL 34208
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mercedes Maria Peck is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1850857822
PECOS Enrollment IDI20260729005257
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Mercedes Peck reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Hospital Physician Services Of Florida PA
350 mi
Hospitalist
8383 N DAVIS HWY
Pensacola, FL 32514
  • Reassigned Medicare billing, Florida enrollment
  • 601 clinicians in this Medicare group
NPI 1558718635 (850) 494-4000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CAYLA FRITZ MD
Student in an Organized Health Care Education/Training Program
206 2ND ST E
BRADENTON, FL 34208
Manatee County (941) 745-7286
MARCIE KROSKA PA-C
Physician Assistant
206 2ND ST E
BRADENTON, FL 34208
Manatee County (941) 746-5111
MARTHA C LEHMAN M.D.
Pathology (Anatomic Pathology & Clinical Pathology)
206 2ND ST E
BRADENTON, FL 34208
Manatee County (305) 665-4614
MANATEE MEMORIAL
Nurse Practitioner (Family)
206 2ND ST E
BRADENTON, FL 34208
Manatee County (941) 745-7419
DR. RACHEL PHILIP DPM
Student in an Organized Health Care Education/Training Program
206 2ND ST E
BRADENTON, FL 34208
Manatee County (941) 746-5111
HENRY E SMOAK III MD
Emergency Medicine
206 2ND ST E
BRADENTON, FL 34208
Manatee County (941) 746-5111
SVETLANA KOVTUNOVA MD
Family Medicine
206 2ND ST E
BRADENTON, FL 34208
Manatee County (941) 746-5111
DR. TIFFANY SOLORZANO HUBMAN DO
Family Medicine
206 2ND ST E
BRADENTON, FL 34208
Manatee County (941) 745-7286

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mercedes Peck's NPI number?

The NPI number for Mercedes Peck is 1003511320. It was assigned to this individual provider in the NPPES registry on April 4, 2023.

Where is Mercedes Peck located?

Mercedes Peck practices at 206 2nd St E, Bradenton, FL 34208. The listed phone number is (941) 745-7257.

What is Mercedes Peck's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Mercedes Peck enrolled in Medicare?

Yes. Mercedes Peck is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Mercedes Peck's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mercedes Peck reassigns Medicare benefits to Hospital Physician Services Of Florida PA (Pensacola, FL). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Mercedes Peck's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Mercedes Peck was last updated on April 5, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.