MRS. MADISON MARIE MERCER APRN-CNP
NPI 1295207595
Nurse Practitioner - Family in Chillicothe, OH

Active since December 26, 2018PECOS EnrolledAccepts Medicare Assignment
83.28/100
CMS Quality Rating
100 N WALNUT ST, CHILLICOTHE, OH 45601(740) 779-4500 Get Directions Write a Review

NPPES record last updated: December 28, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Dec 28, 2020, Nov 18, 2019, Dec 26, 2018 (3 updates tracked since 2018).

About Mrs. Madison Marie Mercer Aprn-cnp NPPES

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

MRS. MADISON MARIE MERCER APRN-CNP (NPI 1295207595) is an individual family provider in Chillicothe, Ohio, licensed in Ohio (APRN.CNP.023862) and active in the NPI registry since December 2018. She is enrolled in Medicare PECOS, is affiliated with Adena Regional Medical Center, and is a graduate of University Of Cincinnati College Of Medicine (2018).

NPPES Registry Identity

NPI1295207595
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMRS. MADISON MARIE MERCERCredential: APRN-CNP
Location Address100 N WALNUT STChillicothe, OH 45601-2420
Mailing Address100 N Walnut StChillicothe, OH 45601-2420 · (740) 779-4500 · Fax (740) 779-8495
Sole ProprietorNo
Medical School CMSUniversity Of Cincinnati College Of MedicineGraduated 2018
Enumeration DateDecember 26, 2018
Last NPPES UpdateDecember 28, 20203 updates tracked since enumeration
NPPES CertifiedDecember 28, 2020
NPI 1295207595 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in OH · APRN.CNP.023862
100 N WALNUT ST, Chillicothe, OH 45601

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

Mrs. Madison Marie Mercer Aprn-cnp 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 ID5193062834
PECOS Enrollment IDI20190204000415
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 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.
67 services27 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
35 services16 patients
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.
17 services12 patients

Hospital Affiliations CMS Care Compare

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

Adena Regional Medical Center

Acute Care Hospitals · Chillicothe, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360159
Location272 Hospital RoadChillicothe, OH 45601 · Ross County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45601 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
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

83.28/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality58.73
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 12

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

Family Medicine
100 N WALNUT ST
CHILLICOTHE, OH 45601
Family Medicine
100 N WALNUT ST
CHILLICOTHE, OH 45601
Nurse Practitioner (Family)
100 N WALNUT ST
CHILLICOTHE, OH 45601
Nurse Practitioner (Family)
100 N WALNUT ST
CHILLICOTHE, OH 45601
Internal Medicine (Endocrinology, Diabetes & Metabolism)
100 N WALNUT ST
CHILLICOTHE, OH 45601
Family Medicine
100 N WALNUT ST
CHILLICOTHE, OH 45601
Family Medicine
100 N WALNUT ST
CHILLICOTHE, OH 45601
Family Medicine
100 N WALNUT ST
CHILLICOTHE, OH 45601

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 Madison Mercer's NPI number?

The NPI number for Madison Mercer is 1295207595. It was assigned to this individual provider in the NPPES registry on December 26, 2018.

Where is Madison Mercer located?

Madison Mercer practices at 100 N Walnut St, Chillicothe, OH 45601. The listed phone number is (740) 779-4500.

What is Madison Mercer's specialty?

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

Is Madison Mercer enrolled in Medicare?

Yes. Madison Mercer 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 Madison Mercer accept?

Health plans from Anthem Blue Cross and Blue Shield, Antidote Health Plan of Ohio, Inc., CareSource, MedMutual and Molina Healthcare list Madison Mercer 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 Madison Mercer affiliated with any hospitals?

According to CMS data, Madison Mercer is affiliated with Adena Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Madison Mercer was last updated on December 28, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.