1. Home
  2. Directory
  3. Florida
  4. Lutz
  5. Nurse Anesthetist Certified Registered
  6. NPI Profile

JEANCARLO JAVIER MERCADO-RIVERA
NPI 1407630908
Nurse Anesthetist, Certified Registered in Lutz, FL

Active since August 24, 2023Accepts Medicare Assignment
14832 NORMANS CAY CIR APT 102, LUTZ, FL 33559(939) 216-2631 Get Directions Write a Review

NPPES record last updated: July 2, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: May 6, 2024, Aug 24, 2023 (2 updates tracked since 2023).

About Jeancarlo Javier Mercado-rivera NPPES

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

JEANCARLO JAVIER MERCADO-RIVERA (NPI 1407630908) is an individual nurse anesthetist, certified registered in Lutz, Florida, licensed in Florida (APRN11032407) and active in the NPI registry since August 2023. He is affiliated with Adventhealth Tampa, maintains a secondary practice location in Tampa, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1407630908
Entity TypeIndividualMale
Primary Taxonomy367500000X
Provider Legal NameJEANCARLO JAVIER MERCADO-RIVERA
Location Address14832 NORMANS CAY CIR APT 102Lutz, FL 33559-3502
Mailing Address14832 Normans Cay Cir Apt 102Lutz, FL 33559-3502
Phone(939) 216-2631
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateAugust 24, 2023
Last NPPES UpdateJuly 2, 20262 updates tracked since enumeration
NPPES CertifiedJuly 2, 2026
✔ NPI 1407630908 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367500000X
License✔ Licensed in FL · APRN11032407
Definition
(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
14832 NORMANS CAY CIR APT 102, Lutz, FL 33559
Open in Google Maps ↗

Secondary Practice Location 1

Location 112902 Usf Magnolia DrTampa, FL 33612-9416 · Phone (813) 745-4673

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

Jeancarlo Javier Mercado-rivera 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 ID2466994488
PECOS Enrollment IDI20240605004106

Medicare Billing Reassignments

2

Medicare enrollment records show Jeancarlo Mercado-rivera reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Greater Florida Anesthesiologists, LLC
1.1 mi
Anesthesiology
3100 E FLETCHER AVE
Tampa, FL 33613
  • Reassigned Medicare billing, Florida enrollment
  • 749 clinicians in this Medicare group
NPI 1114599388 (954) 939-5000
H Lee Moffitt Cancer Ctr & Res Inst Life Time Cancer Scrn Ctr Inc
1.3 mi
Hematology & Oncology
12902 USF MAGNOLIA DR
Tampa, FL 33612
  • Reassigned Medicare billing, Florida enrollment
  • 992 clinicians in this Medicare group
NPI 1306833595 (813) 745-4673

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

Hospital Affiliations CMS Care Compare 2

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

Adventhealth Tampa

Acute Care Hospitals · Tampa, FL
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100173
Location3100 E Fletcher AveTampa, FL 33613 · Hillsborough County
Emergency services Birthing friendly

Adventhealth Wesley Chapel

Acute Care Hospitals · Wesley Chapel, FL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100319
Location2600 Bruce B Downs BlvdWesley Chapel, FL 33544 · Pasco County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33559 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
$130.04 typical visit price
range $56.00 – $171.84
Typical copayment $32.51 (range $14.00 – $42.96)
Most-billed visit code 99204
Established Patient
$70.04 typical visit price
range $17.57 – $139.16
Typical copayment $17.51 (range $4.39 – $34.79)
Most-billed visit code 99213
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

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

LAMIS MEDICAL LLC
Pediatrics
14832 NORMANS CAY CIR APT 102
LUTZ, FL 33559
Hillsborough County (813) 955-3078

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 Jeancarlo Mercado-rivera's NPI number?

The NPI number for Jeancarlo Mercado-rivera is 1407630908. It was assigned to this individual provider in the NPPES registry on August 24, 2023.

Where is Jeancarlo Mercado-rivera located?

Jeancarlo Mercado-rivera practices at 14832 Normans Cay Cir Apt 102, Lutz, FL 33559. The listed phone number is (939) 216-2631.

What is Jeancarlo Mercado-rivera's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

Is Jeancarlo Mercado-rivera enrolled in Medicare?

Yes. Jeancarlo Mercado-rivera 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 Jeancarlo Mercado-rivera's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jeancarlo Mercado-rivera reassigns Medicare benefits to 2 organizations: Greater Florida Anesthesiologists, LLC (Tampa, FL) and H Lee Moffitt Cancer Ctr & Res Inst Life Time Cancer Scrn Ctr Inc (Tampa, FL). 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 Jeancarlo Mercado-rivera's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Jeancarlo Mercado-rivera affiliated with any hospitals?

According to CMS data, Jeancarlo Mercado-rivera is affiliated with Adventhealth Tampa and Adventhealth Wesley Chapel.

When was this NPI record last updated?

The NPPES record for Jeancarlo Mercado-rivera was last updated on July 2, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.