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MATTHEW EPHRAIM MERCADO
NPI 1104786169
Student in an Organized Health Care Education/Training Program in Nashville, TN

Active since November 13, 2025PECOS Enrolled
2004 HAYES ST STE 200, NASHVILLE, TN 37203(615) 324-1600 Get Directions Write a Review

NPPES record last updated: November 13, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Matthew Ephraim Mercado NPPES

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

MATTHEW EPHRAIM MERCADO (NPI 1104786169) is an individual student in an organized health care education/training program in Nashville, Tennessee and active in the NPI registry since November 2025. He is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1104786169
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameMATTHEW EPHRAIM MERCADO
Location Address2004 HAYES ST STE 200Nashville, TN 37203-2689
Mailing Address908 Division St Apt 1322Nashville, TN 37203-5782 · (956) 499-8008
Phone(615) 324-1600
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateNovember 13, 2025
NPPES CertifiedNovember 13, 2025
✔ NPI 1104786169 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.
2004 HAYES ST STE 200, Nashville, TN 37203
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Matthew Ephraim Mercado is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID840774964
PECOS Enrollment IDI20260317003545
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.

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.

DR. THOMAS T DOVAN M.D.
Orthopaedic Surgery (Hand Surgery)
2004 HAYES ST STE 200
NASHVILLE, TN 37203
Davidson County (615) 324-1600
DR. AMANDA DEANN MARTIN DO
Orthopaedic Surgery
2004 HAYES ST STE 200
NASHVILLE, TN 37203
Davidson County (615) 324-1600
ELLIOTT JIWOO KIM M.D.
Orthopaedic Surgery (Orthopaedic Surgery of the Spine)
2004 HAYES ST STE 200
NASHVILLE, TN 37203
Davidson County (615) 324-1600
EMILY KATHERINE BECHTEL
Nurse Practitioner (Women's Health)
2004 HAYES ST STE 200
NASHVILLE, TN 37203
Davidson County (615) 284-4646
STACIE LEE SWISHER PA
Physician Assistant (Surgical)
2004 HAYES ST STE 200
NASHVILLE, TN 37203
Davidson County (615) 324-1600
BRIAN DIERCKMAN M.D.
Orthopaedic Surgery
2004 HAYES ST STE 200
NASHVILLE, TN 37203
Davidson County (818) 901-6600
KATIE JANE TAYS
Physician Assistant (Medical)
2004 HAYES ST STE 200
NASHVILLE, TN 37203
Davidson County (615) 324-1600
MARGARET KAISER PA
Physician Assistant
2004 HAYES ST STE 200
NASHVILLE, TN 37203
Davidson County (615) 324-1600

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 Matthew Mercado's NPI number?

The NPI number for Matthew Mercado is 1104786169. It was assigned to this individual provider in the NPPES registry on November 13, 2025.

Where is Matthew Mercado located?

Matthew Mercado practices at 2004 Hayes St Ste 200, Nashville, TN 37203. The listed phone number is (615) 324-1600.

What is Matthew Mercado's specialty?

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

Is Matthew Mercado enrolled in Medicare?

Yes. Matthew Mercado is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Matthew Mercado was last updated on November 13, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months 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.