CASEY DARRELL MERCIEZ (NPI# 1215545512) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215545512 |
| Entity Type | Individual |
| Full Name | CASEY DARRELL MERCIEZ |
| Practice Address |
1015 W Washbourne St Jay OK 74346-4205 |
| Practice Telephone | 9183085513 |
| Practice Fax Number | 9187864435 |
| Mailing Telephone | 9183085513 |
| Mailing Fax Number | 9187864435 |
| Enumeration Date | 2020-07-22 |
| Last Update Date | 2020-07-22 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| Street Address |
1015 W WASHBOURNE ST |
| City | JAY |
| State | OK |
| Zip Code | 74346-4205 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245223858 | George Thomas Conrad | Family Medicine | 1015 W Washbourne St, Jay, OK 74346-4205 | 2005-08-30 |
| 1316562762 | Savannah Dawn Belden | Peer Specialist | 1015 W Washbourne St, Jay, OK 74346-4205 | 2020-06-11 |
| 1386263218 | Jacqueline M Payerli | Social Worker | 1015 W Washbourne St, Jay, OK 74346 | 2020-04-10 |
| 1457988008 | Patricia A Wiese | Case Manager/Care Coordinator | 1015 W Washbourne St, Jay, OK 74346-4205 | 2020-03-24 |
| 1164057584 | Stacey Lane | Case Manager/Care Coordinator | 1015 W Washbourne St, Jay, OK 74346-4205 | 2020-03-05 |
| 1295368660 | Michelle Kay Turner | Case Manager/Care Coordinator | 1015 W Washbourne St, Jay, OK 74346-4205 | 2020-02-13 |
| 1689206922 | Grand Lake Mental Health Center Inc | Clinic/Center | 1015 W Washbourne St, Jay, OK 74346-4205 | 2020-02-05 |
| 1578103206 | Grand Lake Mental Health Center, Inc. | Clinic/Center | 1015 W Washbourne St, Jay, OK 74346-4205 | 2020-01-10 |
| 1255979415 | Grand Lake Mental Health Center, Inc. | Clinic/Center | 1015 W Washbourne St, Jay, OK 74346-4205 | 2019-12-18 |
| 1619448263 | Shemaiah Davis | Counselor | 1015 W Washbourne St, Jay, OK 74346-4205 | 2018-12-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346859261 | Kathy Jo Jones | Clinic/Center | 34404 S 625 Rd, Jay, OK 74346 | 2020-07-27 |
| 1174147847 | Cory H Carroll | Pharmacist | 38776 St Hwy 127, Jay, OK 74346 | 2020-05-29 |
| 1629602362 | Alexis Noelle Gibe | Case Manager/Care Coordinator | 1015 W Washbourne, Jay, OK 74346 | 2020-03-02 |
| 1659933430 | Team Clinic Management Partners LLC | Clinic/Center | 333 E Dial St, Jay, OK 74346 | 2019-07-02 |
| 1083276869 | Team Clinic Management Partners LLC | Clinic/Center | 386 E Monroe Ave, Jay, OK 74346 | 2019-07-02 |
| 1609347657 | Aimee Rachelle Cherry | Dental Hygienist | Sam Hider Dental Clinic, 859 E Melton Dr., Jay, OK 74346 | 2018-12-16 |
| 1619476686 | Curtis J Atterbury | Physician Assistant | 55731 W 345 Rd, Jay, OK 74346 | 2018-02-06 |
| 1972037950 | Vivian Martin | Physical Therapist | 432 South 9th, Jay, OK 74346 | 2017-04-17 |
| 1407389653 | Chelcci Stapleton | Speech-Language Pathologist | 432 S. 9th St, Jay, OK 74346 | 2017-04-05 |
| 1104361096 | Cheryl Gonzalis | Licensed Practical Nurse | 859 E Melton Dr., Jay, OK 74346 | 2016-12-30 |
| Find all providers in zip 74346 | ||||
| Taxonomy Code | 171M00000X |
| Grouping | Other Service Providers |
| Classification | Case Manager/Care Coordinator |
| A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee’s progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629602362 | Alexis Noelle Gibe | Case Manager/Care Coordinator | 1015 W Washbourne, Jay, OK 74346 | 2020-03-02 |
| 1457988008 | Patricia A Wiese | Case Manager/Care Coordinator | 1015 W Washbourne St, Jay, OK 74346-4205 | 2020-03-24 |
| 1164057584 | Stacey Lane | Case Manager/Care Coordinator | 1015 W Washbourne St, Jay, OK 74346-4205 | 2020-03-05 |
| 1295368660 | Michelle Kay Turner | Case Manager/Care Coordinator | 1015 W Washbourne St, Jay, OK 74346-4205 | 2020-02-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205437134 | Anisah S Beasley | Case Manager/Care Coordinator | 24797 S Sh-66, Claremore, OK 74019 | 2020-11-06 |
| 1508467994 | Yenth Matilde Chaidez | Case Manager/Care Coordinator | 10409 Casa Linda, Oklahoma City, OK 73139-5510 | 2020-11-03 |
| 1093316655 | Shaylee Renee Freeman | Case Manager/Care Coordinator | 25285 S Hackamore Rd E, Claremore, OK 74019-2558 | 2020-11-02 |
| 1407456114 | Nicole Roberts | Case Manager/Care Coordinator | 2505 E Hartford Ave Apt 10, Ponca City, OK 74604-3009 | 2020-10-30 |
| 1598365553 | Sherman Julian Riddle | Case Manager/Care Coordinator | 100 W Main St # 4, Pawhuska, OK 74056-4149 | 2020-10-29 |
| 1760082523 | Alimot Shadia L Karim | Case Manager/Care Coordinator | 1330 N Classen Blvd Ste 314, Oklahoma City, OK 73106-6834 | 2020-10-29 |
| 1922608942 | Madison Brianne Boyd | Case Manager/Care Coordinator | 801 Park St, Chelsea, OK 74016-1426 | 2020-10-28 |
| 1376143669 | Taylor Austin Finch | Case Manager/Care Coordinator | 3500 S Peoria Ave, Tulsa, OK 74105-2529 | 2020-10-27 |
| 1336749852 | Reshanna Leshae Childs-russell | Case Manager/Care Coordinator | 10505 Windway Ave, Oklahoma City, OK 73162-8001 | 2020-10-26 |
| 1679172381 | Leah Rebecca Linton | Case Manager/Care Coordinator | 518 W Park St, Tecumseh, OK 74873-3027 | 2020-10-22 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.