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MERCEDES VALLECILLO
NPI 1639560709
Nurse Anesthetist, Certified Registered in Philadelphia, PA

Active since February 11, 2015
34TH STREET AND CIVIC CENTER BOULEVARD, SUITE 9329, PHILADELPHIA, PA 19104(215) 590-1858(215) 590-1415 Get Directions Write a Review

NPPES record last updated: February 11, 2015. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Mercedes Vallecillo NPPES

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

MERCEDES VALLECILLO (NPI 1639560709) is an individual nurse anesthetist, certified registered in Philadelphia, Pennsylvania, licensed in Pennsylvania (RN595832) and active in the NPI registry since February 2015.

NPPES Registry Identity

NPI1639560709
Entity TypeIndividualFemale
Primary Taxonomy367500000X
Provider Legal NameMERCEDES VALLECILLO
Location Address34TH STREET AND CIVIC CENTER BOULEVARD, SUITE 9329Philadelphia, PA 19104-4399
Mailing Address100 East Penn Square, The Wanamaker Building, 9th Floor, NorthPhiladelphia, PA 19107-3323 · (267) 425-9300
Phone(215) 590-1858
Fax(215) 590-1415
Sole ProprietorNo
Enumeration DateFebruary 11, 2015
✔ NPI 1639560709 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367500000X
License✔ Licensed in PA · RN595832
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.
34TH STREET AND CIVIC CENTER BOULEVARD, Philadelphia, PA 19104
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mercedes Vallecillo is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignments

3

Medicare enrollment records show Mercedes Vallecillo reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Children's Anesthesiology Associates, Ltd
Same address
Pain Medicine
3401 CIVIC CENTER BLVD
Philadelphia, PA 19104
  • Reassigned Medicare billing, Pennsylvania enrollment
  • Medicare enrollment name: Childrens Anesthesiology Associates Ltd
  • 216 clinicians in this Medicare group
NPI 1215048491 (215) 590-1000
Stc Pediatrics LLC
1.5 mi
Thoracic Surgery (Cardiothoracic Vascular Surgery)
230 N BROAD ST
Philadelphia, PA 19102
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 479 clinicians in this Medicare group
NPI 1437793833 (610) 743-6049
United Anesthesia Services PC
4.6 mi
Anesthesiology
100 E LANCASTER AVE
Wynnewood, PA 19096
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 489 clinicians in this Medicare group
NPI 1053366062 (484) 476-2000

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

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.

LAUREN BROWN CRNA
Nurse Anesthetist, Certified Registered
34TH STREET AND CIVIC CENTER BOULEVARD, SUITE 9329
PHILADELPHIA, PA 19104
Philadelphia County (215) 590-1858
CHERYL BRENNEMAN
Nurse Practitioner (Pediatrics, Critical Care)
34TH STREET AND CIVIC CENTER BOULEVARD
PHILADELPHIA, PA 19104
Philadelphia County (917) 478-3378
ALISON REED PERATE MD
Anesthesiology (Pediatric Anesthesiology)
34TH STREET AND CIVIC CENTER BOULEVARD, SUITE 9329
PHILADELPHIA, PA 19104
Philadelphia County (215) 590-1858
LORI ORTMAN CRNA
Nurse Anesthetist, Certified Registered
34TH STREET AND CIVIC CENTER BOULEVARD, SUITE 9329
PHILADELPHIA, PA 19104
Philadelphia County (215) 590-1867
MARGARET EMILY SAMUELS-KALOW MD
Pediatrics (Pediatric Emergency Medicine)
34TH STREET AND CIVIC CENTER BOULEVARD, CHILDREN'S HOSPITAL OF PHILADELPHIA, EMERG. DEPT.
PHILADELPHIA, PA 19104
Philadelphia County (215) 590-1959
RAMESH KODAVATIGANTI M.D.
Anesthesiology
34TH STREET AND CIVIC CENTER BOULEVARD, SUITE 9329
PHILADELPHIA, PA 19104
Philadelphia County (215) 590-1867
DAVID R JOBES MD
Anesthesiology (Pediatric Anesthesiology)
34TH STREET AND CIVIC CENTER BOULEVARD, SUITE 9329
PHILADELPHIA, PA 19104
Philadelphia County (215) 590-1867
KELLY MARTIN M.D.
Pediatrics (Pediatric Critical Care Medicine)
34TH STREET AND CIVIC CENTER BOULEVARD, SUITE 7C26
PHILADELPHIA, PA 19104
Philadelphia County (215) 590-7430

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 Vallecillo's NPI number?

The NPI number for Mercedes Vallecillo is 1639560709. It was assigned to this individual provider in the NPPES registry on February 11, 2015.

Where is Mercedes Vallecillo located?

Mercedes Vallecillo practices at 34th Street And Civic Center Boulevard Suite 9329, Philadelphia, PA 19104. The listed phone number is (215) 590-1858.

What is Mercedes Vallecillo's specialty?

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

Is Mercedes Vallecillo enrolled in Medicare?

Yes. Mercedes Vallecillo is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Mercedes Vallecillo's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mercedes Vallecillo reassigns Medicare benefits to 3 organizations: Children's Anesthesiology Associates, Ltd (Philadelphia, PA), Stc Pediatrics LLC (Philadelphia, PA) and United Anesthesia Services PC (Wynnewood, PA). 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 Vallecillo's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Mercedes Vallecillo was last updated on February 11, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years 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.