KRISTIN BETH MERCADO ANP-BC
NPI 1104178110
Nurse Practitioner in Green Bay, WI

Active since October 15, 2012PECOS EnrolledAccepts Medicare Assignment
94.61/100
CMS Quality Rating
1821 S WEBSTER AVE, GREEN BAY, WI 54301(920) 496-4700 Get Directions Write a Review

NPPES record last updated: October 13, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Kristin Beth Mercado Anp-bc NPPES

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

KRISTIN BETH MERCADO ANP-BC (NPI 1104178110) is an individual nurse practitioner in Green Bay, Wisconsin, licensed in Wisconsin (5093) and active in the NPI registry since October 2012. She is enrolled in Medicare PECOS, is affiliated with St Vincent Hospital, and is a graduate of Other (2012).

NPPES Registry Identity

NPI1104178110
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameKRISTIN BETH MERCADOCredential: ANP-BC
Location Address1821 S WEBSTER AVEGreen Bay, WI 54301-2253
Mailing AddressPo Box 19070Green Bay, WI 54307-9070 · (920) 496-4700
Sole ProprietorNo
Medical School CMSOtherGraduated 2012
Enumeration DateOctober 15, 2012
Last NPPES UpdateOctober 13, 2021
NPPES CertifiedSeptember 30, 2021
NPI 1104178110 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License Licensed in WI · 5093
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Also ListedNurse Practitioner · Acute CareTaxonomy 363LA2100X · License 5093-33 (WI)
1821 S WEBSTER AVE, Green Bay, WI 54301

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Kristin Beth Mercado Anp-bc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4183861214
PECOS Enrollment IDI20130509000525
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.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
119 services112 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
50 services47 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
41 services41 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

St Vincent Hospital

Acute Care Hospitals · Green Bay, WI
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number520075
Location835 S Van Buren StGreen Bay, WI 54301 · Brown County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54301 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$82.92 typical visit price
range $53.90 – $163.24
Typical copayment $20.73 (range $13.47 – $40.81)
Most-billed visit code 99203
Established Patient
$95.41 typical visit price
range $17.40 – $133.76
Typical copayment $23.85 (range $4.35 – $33.44)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

94.61/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality85.17
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 9

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
6 suppliers41 claims41 services$39.61 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
7 suppliers38 claims38 services$97.77 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
6 suppliers28 claims40 services$37.34 avg. paid by Medicare
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
5 suppliers15 claims15 services$63.30 avg. paid by Medicare
Headgear used with positive airway pressure device A7035
DME-Other DME · category DE001N
9 suppliers43 claims43 services$20.46 avg. paid by Medicare
Filter, disposable, used with positive airway pressure device A7038
DME-Other DME · category DE001N
9 suppliers66 claims213 services$2.37 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Psychologist
1821 S WEBSTER AVE
GREEN BAY, WI 54301
Nurse Practitioner
1821 S WEBSTER AVE
GREEN BAY, WI 54301
Pediatrics
1821 S WEBSTER AVE
GREEN BAY, WI 54301
Pediatrics
1821 S WEBSTER AVE
GREEN BAY, WI 54301
Nurse Practitioner
1821 S WEBSTER AVE
GREEN BAY, WI 54301
Neuromusculoskeletal Medicine & OMM
1821 S WEBSTER AVE
GREEN BAY, WI 54301
Physical Therapist
1821 S WEBSTER AVE
GREEN BAY, WI 54301
Surgery
1821 S WEBSTER AVE
GREEN BAY, WI 54301

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 Kristin Mercado's NPI number?

The NPI number for Kristin Mercado is 1104178110. It was assigned to this individual provider in the NPPES registry on October 15, 2012.

Where is Kristin Mercado located?

Kristin Mercado practices at 1821 S Webster Ave, Green Bay, WI 54301. The listed phone number is (920) 496-4700.

What is Kristin Mercado's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Kristin Mercado enrolled in Medicare?

Yes. Kristin Mercado is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Kristin Mercado accept?

Health plans from Anthem Blue Cross and Blue Shield, CareSource (Common Ground Healthcare), Network Health and Security Health Plan list Kristin Mercado as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Kristin Mercado affiliated with any hospitals?

According to CMS data, Kristin Mercado is affiliated with St Vincent Hospital.

When was this NPI record last updated?

The NPPES record for Kristin Mercado was last updated on October 13, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.