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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: October 18, 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, maintains 2 additional practice locations, and is a graduate of Other (2018).

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
Phone(305) 876-6960
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
Open in Google Maps ↗

Secondary Practice Locations 2

Location 1860 NW 42nd Ave Ste 305Miami, FL 33126-4175 · Phone (305) 317-6603 · Fax (305) 317-6604
Location 213550 SW 88th St Ste 206Miami, FL 33186-1513 · Phone (305) 245-9222 · Fax (305) 428-2602

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health Maintenance Organization of Florida.Insurance ›

Medicare Participation & PECOS CMS

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

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.

Medicare Billing Reassignments

6

Medicare enrollment records show Mercedes Heredia reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Nova Medical Services - Wound Care Division LLC
3.3 mi
Family Medicine
11420 N KENDALL DR STE 207
Miami, FL 33176
  • Reassigned Medicare billing, Florida enrollment
  • 74 clinicians in this Medicare group
NPI 1578145793 (786) 715-9183
Novo Medical Group LLC
3.4 mi
Clinic/Center
7270 NW 12TH ST STE 410
Miami, FL 33126
  • Reassigned Medicare billing, Florida enrollment
  • 9 clinicians in this Medicare group
NPI 1396441044 (305) 456-6997
Miami Dade Medical And Rehabilitation Center Corp
4.2 mi
Family Medicine
760 NW 107TH AVE STE 406
Miami, FL 33172
  • Reassigned Medicare billing, Florida enrollment
  • 11 clinicians in this Medicare group
NPI 1700543634 (786) 334-6928
Arrazola Health Center Inc
6.5 mi
General Practice
13550 SW 88TH ST STE 280A
Miami, FL 33186
  • Reassigned Medicare billing, Florida enrollment
  • 6 clinicians in this Medicare group
NPI 1497192736 (305) 245-9222
Comprehensive Counseling And Wellness Center LLC
8.5 mi
Mental Health (Including Community Mental Health Center)
10201 HAMMOCKS BLVD STE 123
Miami, FL 33196
  • Reassigned Medicare billing, Florida enrollment
  • 10 clinicians in this Medicare group
NPI 1275062135 (786) 577-3427
Tcm Quality Services,inc
116 mi
Case Management
871 SE 47TH ST
Cape Coral, FL 33904
  • Reassigned Medicare billing, Florida enrollment
  • 5 clinicians in this Medicare group
NPI 1609326727 (239) 257-1950

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

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.

SOUTH MEDICAL CENTER, INC
Clinic/Center (Physical Therapy)
7951 SW 40TH ST STE 200
MIAMI, FL 33155
Miami-Dade County (305) 265-1192
GLOBAL BEHAVIORAL HEALTH GROUP CORP
Clinic/Center (Mental Health (Including Community Mental Health Center))
7951 SW 40TH ST STE 200
MIAMI, FL 33155
Miami-Dade County (786) 244-9911
USA GLOBAL MEDICAL CORP
Nurse Practitioner (Psychiatric/Mental Health)
7951 SW 40TH ST STE 200
MIAMI, FL 33155
Miami-Dade County (305) 876-6960
ACUTE CARE SURGICAL SPECIALIST, PLLC
Surgery (Surgical Critical Care)
7951 SW 40TH ST STE 200
MIAMI, FL 33155
Miami-Dade County (786) 435-0179
USA GLOBAL RESEARCH CORP
Clinic/Center (Research)
7951 SW 40TH ST STE 200
MIAMI, FL 33155
Miami-Dade County (305) 876-6960

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.

Which organizations bill Medicare for Mercedes Heredia's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mercedes Heredia reassigns Medicare benefits to 6 organizations: Nova Medical Services - Wound Care Division LLC (Miami, FL), Novo Medical Group LLC (Miami, FL), Miami Dade Medical And Rehabilitation Center Corp (Miami, FL), Arrazola Health Center Inc (Miami, FL), Comprehensive Counseling And Wellness Center LLC (Miami, FL) and 1 more organization, listed in the Medicare section above. Each 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 Heredia's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

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.

When was this NPI record last updated?

The NPPES record for Mercedes Heredia was last updated on September 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.