Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

DR. DOROTHIE SCANDY DUROSIER MERTILUS
NPI 1710416979
Nurse Practitioner in Tampa, FL

Active since June 09, 2017PECOS EnrolledAccepts Medicare Assignment
89.43/100
CMS Quality Rating
12902 USF MAGNOLIA DR, TAMPA, FL 33612(813) 745-4673(813) 745-3875 Get Directions Write a Review

NPPES record last updated: July 10, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jul 10, 2026, Jun 9, 2017 (2 updates tracked since 2017).

About Dr. Dorothie Scandy Durosier Mertilus NPPES

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

DR. DOROTHIE SCANDY DUROSIER MERTILUS (NPI 1710416979) is an individual nurse practitioner in Tampa, Florida, licensed in Florida (APRN9370705) and active in the NPI registry since June 2017. She is enrolled in Medicare PECOS and is a graduate of Other (2017).

NPPES Registry Identity

NPI1710416979
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameDR. DOROTHIE SCANDY DUROSIER MERTILUS
Location Address12902 USF MAGNOLIA DRTampa, FL 33612-9416
Mailing AddressPo Box 198441Atlanta, GA 30384-8441 · (813) 745-4673
Fax(813) 745-3875
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateJune 9, 2017
Last NPPES UpdateJuly 10, 20262 updates tracked since enumeration
NPPES CertifiedJuly 10, 2026
NPI 1710416979 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License Licensed in FL · APRN9370705
Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Also ListedNurse Practitioner · Adult HealthTaxonomy 363LA2200X · License ARNP9370705 (FL)
Also ListedNurse Practitioner · GerontologyTaxonomy 363LG0600X · License ARNP9370705 (FL)
Also ListedNurse Practitioner · Primary CareTaxonomy 363LP2300X · License ARNP9370705 (FL)
12902 USF MAGNOLIA DR, Tampa, FL 33612

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

Dr. Dorothie Scandy Durosier Mertilus 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 ID8820368699
PECOS Enrollment IDI20170727000420
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 2

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 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 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.
262 services143 patients
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.
20 services19 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33612 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
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
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.

89.43/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality73.84
Promoting Interoperability100
Improvement Activities40

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.

Pharmacist (Oncology)
12902 USF MAGNOLIA DR
TAMPA, FL 33612
Pharmacist (Oncology)
12902 USF MAGNOLIA DR
TAMPA, FL 33612
Physician Assistant
12902 USF MAGNOLIA DR
TAMPA, FL 33612
Anesthesiology (Pain Medicine)
12902 USF MAGNOLIA DR, WCB, 2ND FLOOR/ANESTHESIA
TAMPA, FL 33612
Anesthesiology
12902 USF MAGNOLIA DR, MCB-ANES
TAMPA, FL 33612
Nurse Anesthetist, Certified Registered
12902 USF MAGNOLIA DR
TAMPA, FL 33612
Nurse Anesthetist, Certified Registered
12902 USF MAGNOLIA DR
TAMPA, FL 33612
Anesthesiology
12902 USF MAGNOLIA DR, MDC 44
TAMPA, FL 33612

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1710416979, enumerated as an "individual" on June 09, 2017.

The provider is located at 12902 USF MAGNOLIA DR TAMPA, FL 33612 and the phone number is (813) 745-4673.

Nurse Practitioner with taxonomy code 363L00000X.