MERCY MEDICAL URGENT CARE CENTER
NPI 1891113064
Clinic/Center - Urgent Care in Lake City, FL

Active since April 03, 2014CLIA 10D1020840 · Waiver
2786 W US HIGHWAY 90 STE 105, LAKE CITY, FL 32055(386) 758-2944(386) 758-9822 Get Directions Write a Review

NPPES record last updated: April 26, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Oct 18, 2022, Oct 10, 2016 (2 updates tracked since 2016).

About Mercy Medical Urgent Care Center NPPES

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

MERCY MEDICAL URGENT CARE CENTER (NPI 1891113064) is a healthcare organization registered as an urgent care in Lake City, Florida and active in the NPI registry since April 2014. The organization holds a CLIA Waiver certificate valid through August 20, 2027 and lists Mona Floyd, President, as its authorized official.

NPPES Registry Identity

NPI1891113064
Entity TypeOrganization
Primary Taxonomy261QU0200X
Legal Business NameMERCY MEDICAL URGENT CARE CENTER
Location Address2786 W US HIGHWAY 90 STE 105Lake City, FL 32055-7723
Mailing Address2786 W Us Highway 90 Ste 105Lake City, FL 32055-7723 · (386) 758-2944 · Fax (386) 758-9822
Fax(386) 758-9822
Organization SubpartNo
Authorized OfficialMona FloydPresident · (386) 758-2944
Enumeration DateApril 3, 2014
Last NPPES UpdateApril 26, 20232 updates tracked since enumeration
NPPES CertifiedApril 26, 2023
✔ NPI 1891113064 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Urgent CareAmbulatory Health Care Facilities
Taxonomy Code261QU0200X
2786 W US HIGHWAY 90 STE 105, Lake City, FL 32055

Other Identifiers 2

Medicaid013907900FL
OtherB90PPFL · Bcbs

Accepted Insurance

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 Urgent Care Center is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

15

Medicare enrollment records show 15 clinicians reassign Medicare billing to Mercy Medical Urgent Care Center, which bills Medicare for the services they deliver. Of these, 7 practice within 10 miles. They are listed nearest first.

Clinicians by Medicare Specialty 2

Nurse Practitioner14
Pediatric Medicine1

Clinicians, nearest first (15)

Nurse Practitioner
NPI 1871336164
340 NW COMMERCE DR
Lake City, FL 32055
(386) 719-9045
✔ PECOS✔ Accepts Medicare0.6 mi
Nurse Practitioner
NPI 1619618519
340 NW COMMERCE DR
Lake City, FL 32055
(386) 719-9000
✔ PECOS✔ Accepts Medicare0.9 mi
Nurse Practitioner
NPI 1982830618
4241 NW AMERICAN LN
Lake City, FL 32055
(386) 752-2246
✔ PECOS✔ Accepts Medicare1.7 mi
Nurse Practitioner
NPI 1316581879
256 SW PROFESSIONAL GLN STE 102
Lake City, FL 32025
(386) 319-8938
✔ PECOS2.4 mi
Nurse Practitioner
NPI 1871392316
795 SW STATE ROAD 47
Lake City, FL 32025
(386) 401-7066
✔ PECOS✔ Accepts Medicare2.4 mi
Nurse Practitioner
NPI 1700337458
1289 SW STATE ROAD 47
Lake City, FL 32025
(386) 755-0421
✔ PECOS2.6 mi
Nurse Practitioner
NPI 1205232808
173 NW ALBRITTON LN
Lake City, FL 32055
(386) 755-4020
✔ PECOS3.6 mi
Nurse Practitioner
NPI 1902341456
25632 83RD RD
Branford, FL 32008
(386) 854-0998
✔ PECOS✔ Accepts Medicare19 mi
Nurse Practitioner
NPI 1467807347
112 IRVIN AVE SW
Live Oak, FL 32064
(386) 330-6380
✔ PECOS✔ Accepts Medicare20 mi
Nurse Practitioner
NPI 1245718295
1100 11TH ST SW
Live Oak, FL 32064
(386) 362-0800
✔ PECOS✔ Accepts Medicare21 mi
Nurse Practitioner
NPI 1598771545
1550 S WATER ST
Starke, FL 32091
(904) 368-2480
✔ PECOS39 mi
Nurse Practitioner
NPI 1457504052
7011 W NEWBERRY RD STE B
Gainesville, FL 32605
(352) 240-6048
✔ PECOS✔ Accepts Medicare39 mi
Nurse Practitioner
NPI 1922015031
4343 W NEWBERRY RD SUITE 10
Gainesville, FL 32607
(352) 224-2481
✔ PECOS✔ Accepts Medicare40 mi
Pediatric Medicine
NPI 1881653723
7046 SW ARCHER RD
Gainesville, FL 32608
(352) 733-1770
✔ PECOS✔ Accepts Medicare43 mi
Nurse Practitioner
NPI 1942822283
95754 AMELIA CONCOURSE UNIT 5
Fernandina Beach, FL 32034
(904) 467-2960
✔ PECOS74 mi

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 10D1020840

Mercy Medical Urgent Care Center Inc · Lake City, FL
Active · expires Aug 20, 2027
CLIA Number10D1020840
Laboratory TypePhysician Office
Certificate Effective DateAugust 21, 2025
Certificate Expiration DateAugust 20, 2027
Laboratory DirectorBilal Khodr
Laboratory Phone(386) 758-2944
Laboratory LocationMercy Medical Urgent Care Center Inc2786 W Us Hwy 90, Suite 105, Lake City, FL 32055
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Mercy Medical Urgent Care Center's NPI number?

The NPI number for Mercy Medical Urgent Care Center is 1891113064. It was assigned to this organization in the NPPES registry on April 3, 2014.

Where is Mercy Medical Urgent Care Center located?

Mercy Medical Urgent Care Center is located at 2786 W Us Highway 90 Ste 105, Lake City, FL 32055. The listed phone number is (386) 758-2944.

What is Mercy Medical Urgent Care Center's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Urgent Care, with taxonomy code 261QU0200X.

Is Mercy Medical Urgent Care Center enrolled in Medicare?

Yes. Mercy Medical Urgent Care Center is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Mercy Medical Urgent Care Center?

According to the CMS Revalidation Reassignment List (October 2026 release), 15 clinicians in 2 Medicare specialties reassign their Medicare billing to Mercy Medical Urgent Care Center. 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. The largest specialties are Nurse Practitioner (14) and Pediatric Medicine (1). Of these, 7 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Mercy Medical Urgent Care Center hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D1020840) is associated with this NPI, valid through August 20, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Mercy Medical Urgent Care Center accept?

Health plans from Ambetter Health, Ambetter of Alabama, Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list Mercy Medical Urgent Care Center 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 Mercy Medical Urgent Care Center was last updated on April 26, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.