MERCEDES HEREDIA
NPI 1164918959
Nurse Practitioner - Family in Miami, FL

Active since July 05, 2018PECOS EnrolledAccepts Medicare Assignment
7951 SW 40TH ST STE 200, MIAMI, FL 33155(305) 876-6960(305) 876-6959 Get Directions Write a Review

NPPES record last updated: September 24, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Apr 13, 2023, Mar 17, 2021, Feb 24, 2021 and 1 more (4 updates tracked since 2018).

About Mercedes Heredia NPPES

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

MERCEDES HEREDIA (NPI 1164918959) is an individual family provider in Miami, Florida, licensed in Florida (9416857) and active in the NPI registry since July 2018. She is enrolled in Medicare PECOS, is affiliated with Mount Sinai Medical Center Of Florida, Inc, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1164918959
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMERCEDES HEREDIA
Location Address7951 SW 40TH ST STE 200Miami, FL 33155-6752
Mailing Address9800 Sw 20th StMiami, FL 33165-7607 · (305) 553-3364
Fax(305) 876-6959
Sole ProprietorYes
Medical School CMSOtherGraduated 2018
Enumeration DateJuly 5, 2018
Last NPPES UpdateSeptember 24, 20254 updates tracked since enumeration
NPPES CertifiedSeptember 24, 2025
NPI 1164918959 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in FL · 9416857
Also ListedRegistered Nurse · Wound CareTaxonomy 163WW0000X · License 9416857 (FL)
7951 SW 40TH ST STE 200, Miami, FL 33155

Secondary Practice Locations 2

Location 113550 SW 88th St Ste 206Miami, FL 33186-1513 · Phone (305) 245-9222 · Fax (305) 428-2602
Location 2860 NW 42nd Ave Ste 305Miami, FL 33126-4175 · Phone (305) 317-6603 · Fax (305) 317-6604

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

Mercedes Heredia 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 ID244661718
PECOS Enrollment IDI20200518000682
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.

Hospital Affiliations CMS Care Compare

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

Mount Sinai Medical Center Of Florida, Inc

Acute Care Hospitals · Miami Beach, FL
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100034
Location4300 Alton RdMiami Beach, FL 33140 · Miami-Dade County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33155 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
$96.13 typical visit price
range $60.92 – $187.05
Typical copayment $24.03 (range $15.23 – $46.76)
Most-billed visit code 99203
Established Patient
$107.17 typical visit price
range $18.99 – $150.24
Typical copayment $26.79 (range $4.74 – $37.56)
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.

Other Providers at the Same Location NPPES 5

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

Clinic/Center (Physical Therapy)
7951 SW 40TH ST STE 200
MIAMI, FL 33155
Clinic/Center (Mental Health (Including Community Mental Health Center))
7951 SW 40TH ST STE 200
MIAMI, FL 33155
Nurse Practitioner (Psychiatric/Mental Health)
7951 SW 40TH ST STE 200
MIAMI, FL 33155
Surgery (Surgical Critical Care)
7951 SW 40TH ST STE 200
MIAMI, FL 33155
Clinic/Center (Research)
7951 SW 40TH ST STE 200
MIAMI, FL 33155

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 Heredia's NPI number?

The NPI number for Mercedes Heredia is 1164918959. It was assigned to this individual provider in the NPPES registry on July 5, 2018.

Where is Mercedes Heredia located?

Mercedes Heredia practices at 7951 SW 40th St Ste 200, Miami, FL 33155. The listed phone number is (305) 876-6960.

What is Mercedes Heredia's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Mercedes Heredia enrolled in Medicare?

Yes. Mercedes Heredia 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 Mercedes Heredia accept?

Health plans from Oscar Health Maintenance Organization of Florida list Mercedes Heredia 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 Mercedes Heredia affiliated with any hospitals?

According to CMS data, Mercedes Heredia is affiliated with Mount Sinai Medical Center Of Florida, Inc.

When was this NPI record last updated?

The NPPES record for Mercedes Heredia was last updated on September 24, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.