MS. AMANDA MERCADO (CRNA) – Certified Registered Nurse Anesthetist, NPI 1114463312
Certified Registered Nurse Anesthetist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for MS. AMANDA MERCADO (CRNA)
7160 RAFAEL RIVERA WAY STE 210
LAS VEGAS, NV 891135395
Phone: (702) 878-0070
Fax: (702) 209-2064
Type: Location
370 Norborne Ave
Dearborn Heights, MI 481273758
Phone: (313) 575-2763
Type: Location
421, Chalfonte Avenue, Grosse Pointe Farms, Wayne County, Michigan, 48236, United States
GROSSE POINTE FARMS, MI 482362915
Phone: (313) 575-2763
Type: Mailing
370, Norborne Avenue, Dearborn Heights, Wayne County, Michigan, 48127, United States
DEARBORN HEIGHTS, MI 481273758
Phone: (313) 575-2763
Type: Location
PO BOX 840857
DALLAS, TX 752840857
Phone: (725) 204-4632
Fax: (702) 805-0307
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $13.
Total Amount is formed as General ($13) + Research ($0) + Ownership ($0) = $13.
Last reported payment date: 2024-03-13 • Largest payer in this snapshot: Masimo Corporation ($13).
Total Amount
$13
General + Research + Ownership
Payments
1
Total payment records
General Amount
$13
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-03-13
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Masimo Corporation | $13 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2021-11-19
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20170227000878 | I | Certified Registered Nurse Anesthetist (Crna) | MI | TBD |
| I20211119001040 | I | Certified Registered Nurse Anesthetist (Crna) | NV | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 89113)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Certified Registered Nurse Anesthetist (Crna) | IL | |
| - | MI | |
| - | MI | |
| - | MI | |
| Infectious Disease | MI | |
| H E M A T O L O G Y/ O N C O L O G Y | MO | |
| - | MI | |
| - | MI | |
| H E M A T O L O G Y/ O N C O L O G Y | MI | |
| O B S T E T R I C S/ G Y N E C O L O G Y | MI |
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