MERTZ MFM CENTER
NPI 1912577628
Obstetrics & Gynecology - Maternal & Fetal Medicine in Winston Salem, NC

Active since June 26, 2021
3815 FORRESTGATE DR, WINSTON SALEM, NC 27103(336) 480-4173(276) 783-2879 Get Directions Write a Review

NPPES record last updated: August 22, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Aug 22, 2023, Jun 26, 2021 (2 updates tracked since 2021).

About Mertz Mfm Center NPPES

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

MERTZ MFM CENTER (NPI 1912577628) is a healthcare organization registered as a maternal & fetal medicine in Winston Salem, North Carolina and active in the NPI registry since June 2021. The organization lists Heather L. Mertz, Owner, as its authorized official.

NPPES Registry Identity

NPI1912577628
Entity TypeOrganization
Primary Taxonomy207VM0101X
Legal Business NameMERTZ MFM CENTER
Location Address3815 FORRESTGATE DRWinston Salem, NC 27103-2930
Mailing Address3815 Forrestgate DrWinston Salem, NC 27103-2930 · (336) 480-4173 · Fax (276) 783-2879
Fax(276) 783-2879
Organization SubpartNo
Authorized OfficialHeather L. MertzOwner · (336) 480-4173
Enumeration DateJune 26, 2021
Last NPPES UpdateAugust 22, 20232 updates tracked since enumeration
NPPES CertifiedAugust 2, 2023
✔ NPI 1912577628 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & Gynecology · Maternal & Fetal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207VM0101X
Definition
An obstetrician/gynecologist who cares for, or provides consultation on, patients with complications of pregnancy. This specialist has advanced knowledge of the obstetrical, medical and surgical complications of pregnancy and their effect on both the mother and the fetus. The specialist also possesses expertise in the most current diagnostic and treatment modalities used in the care of patients with complicated pregnancies.
3815 FORRESTGATE DR, Winston Salem, NC 27103

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

Medicare Revalidation Due Date

Revalidation due by December 31, 2026

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateNorth CarolinaEnrollment IDO20211230000139Non-DME Part B · Clinic/Group PracticeDue dateDecember 31, 2026
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Mertz Mfm Center, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.

Clinicians, nearest first (3)

Nurse Practitioner
NPI 1043628969
3815 FORRESTGATE DR
Winston Salem, NC 27103
(336) 930-9600
✔ PECOSSame address
Certified Nurse Midwife (CNM)
NPI 1649507534
111 W LEWIS ST STE 205
Greensboro, NC 27406
(919) 932-0378
✔ PECOS29 mi
Obstetrics/Gynecology
NPI 1477533115
1 MEDICAL CENTER DR
Morgantown, WV 26506
(855) 988-2273
✔ PECOS✔ Accepts Medicare248 mi

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

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 Mertz Mfm Center's NPI number?

The NPI number for Mertz Mfm Center is 1912577628. It was assigned to this organization in the NPPES registry on June 26, 2021.

Where is Mertz Mfm Center located?

Mertz Mfm Center is located at 3815 Forrestgate Dr, Winston Salem, NC 27103. The listed phone number is (336) 480-4173.

What is Mertz Mfm Center's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology, specializing in Maternal & Fetal Medicine, with taxonomy code 207VM0101X.

Is Mertz Mfm Center enrolled in Medicare?

Yes. Mertz Mfm Center is registered in the Medicare PECOS enrollment system.

When is Mertz Mfm Center's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (North Carolina, Clinic/Group Practice) is due for revalidation by December 31, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Mertz Mfm Center?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Mertz Mfm Center, in Certified Nurse Midwife (CNM), Nurse Practitioner and Obstetrics/Gynecology. 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. Of these, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Mertz Mfm Center accept?

Health plans from Blue Cross and Blue Shield of NC list Mertz Mfm 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 Mertz Mfm Center was last updated on August 22, 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.