MISS NURIA E ROSA MERCADAL M.D.
NPI 1619313327
Hospitalist in Rensselaer, IN

Active since May 21, 2013PECOS EnrolledAccepts Medicare Assignment
1104 E GRACE ST, RENSSELAER, IN 47978(219) 866-5141(219) 866-3234 Get Directions Write a Review

NPPES record last updated: September 20, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Apr 18, 2022, Mar 20, 2021, Jan 19, 2021 and 1 more (4 updates tracked since 2020).

About Miss Nuria E Rosa Mercadal M.d. NPPES

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

MISS NURIA E ROSA MERCADAL M.D. (NPI 1619313327) is an individual hospitalist provider in Rensselaer, Indiana, licensed in Indiana (01076866A) and active in the NPI registry since May 2013. She is enrolled in Medicare PECOS, is affiliated with Riverview Health, and is a graduate of Indiana University School Of Medicine (2013).

NPPES Registry Identity

NPI1619313327
Entity TypeIndividualFemale
Primary Taxonomy208M00000X
Provider Legal NameMISS NURIA E ROSA MERCADALCredential: M.D.
Location Address1104 E GRACE STRensselaer, IN 47978-3211
Mailing AddressPo Box 781076Detroit, MI 48278-1076 · (317) 528-4800 · Fax (317) 865-1479
Fax(219) 866-3234
Sole ProprietorYes
Medical School CMSIndiana University School Of MedicineGraduated 2013
Enumeration DateMay 21, 2013
Last NPPES UpdateSeptember 20, 20234 updates tracked since enumeration
NPPES CertifiedSeptember 20, 2023
NPI 1619313327 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
License Licensed in IN · 01076866A
Definition

Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.

Also ListedInternal MedicineTaxonomy 207R00000X · License 11017056A (IN), 01076866A (IN)
1104 E GRACE ST, Rensselaer, IN 47978

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

Miss Nuria E Rosa Mercadal M.d. 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 ID2860634763
PECOS Enrollment IDI20170524001436
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 6

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
171 services96 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
123 services76 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
73 services70 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
34 services33 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
15 services11 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
13 services13 patients

Hospital Affiliations CMS Care Compare 2

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

Riverview Health

Acute Care Hospitals · Noblesville, IN
3/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number150059
Location395 Westfield RdNoblesville, IN 46060 · Hamilton County
Emergency services Birthing friendly

Franciscan Health Rensselaer, Inc

Critical Access Hospitals · Rensselaer, IN
OwnershipVoluntary non-profit - Private
CMS Certification Number151324
Location1104 E Grace StRensselaer, IN 47978 · Jasper County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 47978 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
$122.49 typical visit price
range $53.07 – $161.76
Typical copayment $30.62 (range $13.26 – $40.44)
Most-billed visit code 99204
Established Patient
$94.22 typical visit price
range $16.93 – $132.22
Typical copayment $23.55 (range $4.23 – $33.05)
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.

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
100%236 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
2 suppliers18 claims18 services$96.61 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

General Acute Care Hospital (Critical Access)
1104 E GRACE ST
RENSSELAER, IN 47978
Durable Medical Equipment & Medical Supplies (Oxygen Equipment & Supplies)
1104 E GRACE ST
RENSSELAER, IN 47978
Physical Therapist
1104 E GRACE ST, JASPER COUNTY HOSPITAL
RENSSELAER, IN 47978
Physical Therapy Assistant
1104 E GRACE ST, JASPER COUNTY HOSPITAL
RENSSELAER, IN 47978
Physical Therapy Assistant
1104 E GRACE ST, JASPER COUNTY HOSPITAL
RENSSELAER, IN 47978
Physical Therapist
1104 E GRACE ST, JASPER COUNTY HOSPITAL
RENSSELAER, IN 47978
Occupational Therapist
1104 E GRACE ST, JASPER COUNTY HOSPITAL
RENSSELAER, IN 47978
Occupational Therapist
1104 E GRACE ST, JASPER COUNTY HOSPITAL
RENSSELAER, IN 47978

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 Nuria Rosa Mercadal's NPI number?

The NPI number for Nuria Rosa Mercadal is 1619313327. It was assigned to this individual provider in the NPPES registry on May 21, 2013.

Where is Nuria Rosa Mercadal located?

Nuria Rosa Mercadal practices at 1104 E Grace St, Rensselaer, IN 47978. The listed phone number is (219) 866-5141.

What is Nuria Rosa Mercadal's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Is Nuria Rosa Mercadal enrolled in Medicare?

Yes. Nuria Rosa Mercadal 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 Nuria Rosa Mercadal accept?

Health plans from CareSource list Nuria Rosa Mercadal 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 Nuria Rosa Mercadal affiliated with any hospitals?

According to CMS data, Nuria Rosa Mercadal is affiliated with Riverview Health and Franciscan Health Rensselaer, Inc.

When was this NPI record last updated?

The NPPES record for Nuria Rosa Mercadal was last updated on September 20, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.