MERCY MEDICAL AND BEHAVIORAL INC
NPI 1790672491
Nurse Practitioner - Primary Care in Las Vegas, NV
About Mercy Medical And Behavioral Inc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MERCY MEDICAL AND BEHAVIORAL INC (NPI 1790672491) is a healthcare organization registered as a primary care in Las Vegas, Nevada and active in the NPI registry since June 2025. The organization holds a CLIA Waiver certificate valid through July 5, 2028 and lists Cecilio P Gonzales, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 4
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Mercy Medical And Behavioral Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Mercy Medical And Behavioral Inc, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 29D2346708
Mercy Medical And Behavioral Inc · Las Vegas, NVFrequently 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 Mercy Medical And Behavioral Inc's NPI number?
The NPI number for Mercy Medical And Behavioral Inc is 1790672491. It was assigned to this organization in the NPPES registry on June 23, 2025.
Where is Mercy Medical And Behavioral Inc located?
Mercy Medical And Behavioral Inc is located at 4055 Spencer St Ste 216, Las Vegas, NV 89119. The listed phone number is (725) 205-0288.
What is Mercy Medical And Behavioral Inc's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.
Is Mercy Medical And Behavioral Inc enrolled in Medicare?
Yes. Mercy Medical And Behavioral Inc is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Mercy Medical And Behavioral Inc?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Mercy Medical And Behavioral Inc. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Mercy Medical And Behavioral Inc hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 29D2346708) is associated with this NPI, valid through July 5, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Mercy Medical And Behavioral Inc was last updated on May 25, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Mercy Medical And Behavioral Inc · NPI 1790672491
Primary Care organization in Las Vegas, Nevada. Organization record, active in the CMS NPPES registry since June 23, 2025.
## Identity
- **NPI:** 1790672491 (Entity type: Organization)
- **Enumerated:** June 23, 2025
- **Primary specialty:** Nurse Practitioner - Primary Care · taxonomy 363LP2300X
- **Organization subpart:** No
- **Authorized official:** Cecilio Gonzales, PRESIDENT
## Practice location
- **Address:** 4055 SPENCER ST STE 216, Las Vegas, NV 89119-5251
- **Phone:** (725) 205-0288 · **Fax:** (725) 204-9792
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Nurse Practitioner) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** May 25, 2026
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1790672491) · Data from the CMS NPPES public registry.