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ERLINDA PENALOSA MERCADO M.D.
NPI 1790898278
Psychiatry & Neurology - Psychiatry in Middletown, CT

Active since August 17, 2006PECOS Enrolled
PO BOX 351, MIDDLETOWN, CT 06457(860) 395-5042(860) 395-5058 Get Directions Write a Review

NPPES record last updated: January 13, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Erlinda Penalosa Mercado M.d. NPPES

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

ERLINDA PENALOSA MERCADO M.D. (NPI 1790898278) is an individual psychiatry provider in Middletown, Connecticut, licensed in Connecticut (64604) and active in the NPI registry since August 2006. She is enrolled in Medicare PECOS and maintains a secondary practice location in Caro.

NPPES Registry Identity

NPI1790898278
Entity TypeIndividualFemale
Primary Taxonomy2084P0800X
Provider Legal NameERLINDA PENALOSA MERCADOCredential: M.D.
Location AddressPO BOX 351Middletown, CT 06457-7023
Mailing Address2000 Chambers RoadCaro, MI 48723-9296 · (989) 673-3191 · Fax (989) 673-0064
Phone(860) 395-5042
Fax(860) 395-5058
Sole ProprietorNo
Enumeration DateAugust 17, 2006
Last NPPES UpdateJanuary 13, 2025
NPPES CertifiedJanuary 13, 2025
✔ NPI 1790898278 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
Licenses✔ Licensed in CT · 64604✔ Licensed in MI · EM031514✔ Licensed in SC · 83466
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
PO BOX 351, Middletown, CT 06457
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Secondary Practice Location 1

Location 12000 CHAMBERS ROADCARO, MI 48723-9296 · Phone (989) 673-3191 ext. 9441 · Fax (989) 673-0064

Other Identifiers 3

OtherP00027113MI · Railroad Medicare
Medicaid104866882MI
Other2606386671MI · Blue Cross Blue Shield

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, Priority Health.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Erlinda Penalosa Mercado M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignments

7

Medicare enrollment records show Erlinda Mercado reassigns Medicare billing to 7 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Downriver Mental Health Clinic PC
531 mi
Mental Health (Including Community Mental Health Center)
24715 LITTLE MACK AVE, SUITE 200
Saint Clair Shores, MI 48080
  • Reassigned Medicare billing, Michigan enrollment
  • 451 clinicians in this Medicare group
NPI 1598893141 (586) 777-9000
Psychplus Associates Of Michigan, PLLC
547 mi
Psychiatry
290 TOWN CENTER DR STE 141
Dearborn, MI 48126
  • Reassigned Medicare billing, Michigan enrollment
  • 86 clinicians in this Medicare group
NPI 1053172866 (832) 869-4818
The Guidance Center
547 mi
Community/Behavioral Health
13101 ALLEN RD
Southgate, MI 48195
  • Reassigned Medicare billing, Michigan enrollment
  • 86 clinicians in this Medicare group
NPI 1609947027 (734) 785-7700
State Of Michigan Office Of Financial Management
553 mi
Psychiatric Hospital
30901 PALMER RD
Westland, MI 48186
  • Reassigned Medicare billing, Michigan enrollment
  • 96 clinicians in this Medicare group
NPI 1508883299 (734) 367-8576
Mcleod Regional Medical Center Of The Pee Dee, Inc
638 mi
Emergency Medical Services
555 E CHEVES ST
Florence, SC 29506
  • Reassigned Medicare billing, South Carolina enrollment
  • 816 clinicians in this Medicare group
NPI 1154371433 (843) 777-2000
Western Michigan University School Of Medicine
668 mi
Multi-Specialty
1000 OAKLAND DR
Kalamazoo, MI 49008
  • Reassigned Medicare billing, Michigan enrollment
  • 151 clinicians in this Medicare group
NPI 1316212343 (269) 337-6019
South Carolina Dept Of Mental Health Accounting Office
678 mi
Mental Health (Including Community Mental Health Center)
250 DEWEY AVE
Spartanburg, SC 29303
  • Reassigned Medicare billing, South Carolina enrollment
  • 133 clinicians in this Medicare group
NPI 1427168889 (864) 585-0366

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06457 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
$183.10 typical visit price
range $60.82 – $183.10
Typical copayment $45.77 (range $15.20 – $45.77)
Most-billed visit code 99205
Established Patient
$75.55 typical visit price
range $19.76 – $149.26
Typical copayment $18.88 (range $4.94 – $37.31)
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 2

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

SEAN GRAY LCSW
Social Worker (Clinical)
PO BOX 351
MIDDLETOWN, CT 06457
Lower Connecticut River Valley Planning Region (860) 262-5200
CHRISTINA BOYLE
Counselor (Mental Health)
PO BOX 351
MIDDLETOWN, CT 06457
Lower Connecticut River Valley Planning Region (860) 262-5228

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 Erlinda Mercado's NPI number?

The NPI number for Erlinda Mercado is 1790898278. It was assigned to this individual provider in the NPPES registry on August 17, 2006.

Where is Erlinda Mercado located?

Erlinda Mercado practices at PO Box 351, Middletown, CT 06457. The listed phone number is (860) 395-5042.

What is Erlinda Mercado's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Erlinda Mercado enrolled in Medicare?

Yes. Erlinda Mercado is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Erlinda Mercado's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Erlinda Mercado reassigns Medicare benefits to 7 organizations: Downriver Mental Health Clinic PC (Saint Clair Shores, MI), Psychplus Associates Of Michigan, PLLC (Dearborn, MI), The Guidance Center (Southgate, MI), State Of Michigan Office Of Financial Management (Westland, MI), Mcleod Regional Medical Center Of The Pee Dee, Inc (Florence, SC) and 2 more organizations, listed in the Medicare section above. 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 Erlinda Mercado's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Erlinda Mercado accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company and Priority Health list Erlinda Mercado 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.

When was this NPI record last updated?

The NPPES record for Erlinda Mercado was last updated on January 13, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.