VINCENT DALE MERTZ NP
NPI 1942319231
Nurse Practitioner - Family in Newport News, VA

Active since August 30, 2006PECOS EnrolledAccepts Medicare Assignment
94.07/100
CMS Quality Rating
12200 WARWICK BLVD, STE 410, NEWPORT NEWS, VA 23601(757) 534-5200(757) 534-5830 Get Directions Write a Review

NPPES record last updated: January 30, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Vincent Dale Mertz Np NPPES

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

VINCENT DALE MERTZ NP (NPI 1942319231) is an individual family provider in Newport News, Virginia, licensed in Virginia (0024165161) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS, is affiliated with Riverside Regional Medical Center, and is a graduate of Other (2001).

NPPES Registry Identity

NPI1942319231
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameVINCENT DALE MERTZCredential: NP
Location Address12200 WARWICK BLVD, STE 410Newport News, VA 23601-2548
Mailing Address856 J Clyde Morris Blvd, Suite ANewport News, VA 23601-1318
Fax(757) 534-5830
Sole ProprietorNo
Medical School CMSOtherGraduated 2001
Enumeration DateAugust 30, 2006
Last NPPES UpdateJanuary 30, 2014
NPI 1942319231 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in VA · 0024165161
12200 WARWICK BLVD, Newport News, VA 23601

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

Vincent Dale Mertz Np 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 ID5890891345
PECOS Enrollment IDI20070501000114
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 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and G0180
This is a service where a doctor or authorized practitioner certifies that you require Medicare-covered home health services. They will communicate with the home health agency and review reports on your health status to ensure you receive appropriate care. This does not involve an in-person visit.
53 services53 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
28 services21 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
17 services17 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Riverside Regional Medical Center

Acute Care Hospitals · Newport News, VA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490052
Location500 J Clyde Morris BlvdNewport News, VA 23601 · Newport News City County
Emergency services Birthing friendly

Riverside Walter Reed Hospital

Acute Care Hospitals · Gloucester, VA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490130
Location7519 Hospital RoadGloucester, VA 23061 · Gloucester County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 23601 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
$86.88 typical visit price
range $56.19 – $170.30
Typical copayment $21.72 (range $14.04 – $42.57)
Most-billed visit code 99203
Established Patient
$99.13 typical visit price
range $18.07 – $138.91
Typical copayment $24.78 (range $4.51 – $34.72)
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.

94.07/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality90.65
Promoting Interoperability95.83
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Walker, folding, wheeled, adjustable or fixed height E0143
DME-Other DME · category DE000N
3 suppliers22 claims22 services$41.70 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Internal Medicine (Endocrinology, Diabetes & Metabolism)
12200 WARWICK BLVD, SUITE 590B
NEWPORT NEWS, VA 23601
Nurse Practitioner (Family)
12200 WARWICK BLVD, STE 410
NEWPORT NEWS, VA 23601
Neurological Surgery
12200 WARWICK BLVD, SUITE 410
NEWPORT NEWS, VA 23601
Nurse Practitioner (Women's Health)
12200 WARWICK BLVD, STE 510
NEWPORT NEWS, VA 23601
Physician Assistant
12200 WARWICK BLVD, SUITE 410
NEWPORT NEWS, VA 23601
Neurological Surgery
12200 WARWICK BLVD, SUITE 410
NEWPORT NEWS, VA 23601
Nurse Practitioner
12200 WARWICK BLVD, SUITE 310
NEWPORT NEWS, VA 23601
Neurological Surgery
12200 WARWICK BLVD, SUITE 410
NEWPORT NEWS, VA 23601

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 Vincent Mertz's NPI number?

The NPI number for Vincent Mertz is 1942319231. It was assigned to this individual provider in the NPPES registry on August 30, 2006.

Where is Vincent Mertz located?

Vincent Mertz practices at 12200 Warwick Blvd Ste 410, Newport News, VA 23601. The listed phone number is (757) 534-5200.

What is Vincent Mertz's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Vincent Mertz enrolled in Medicare?

Yes. Vincent Mertz is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Vincent Mertz affiliated with any hospitals?

According to CMS data, Vincent Mertz is affiliated with Riverside Regional Medical Center and Riverside Walter Reed Hospital.

When was this NPI record last updated?

The NPPES record for Vincent Mertz was last updated on January 30, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.