MRS. MERLYN M MCDONALD APRN
NPI 1033268677
Nurse Practitioner in Melbourne, FL

Active since January 10, 2007PECOS EnrolledAccepts Medicare Assignment
85.38/100
CMS Quality Rating
1130 HICKORY ST, STE. B, MELBOURNE, FL 32901(321) 752-0944(321) 434-7590 Get Directions Write a Review

NPPES record last updated: March 25, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 25, 2025, Mar 10, 2020, Apr 9, 2019 and 4 more (7 updates tracked since 2016).

About Mrs. Merlyn M Mcdonald Aprn NPPES

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

MRS. MERLYN M MCDONALD APRN (NPI 1033268677) is an individual nurse practitioner in Melbourne, Florida, licensed in Florida (APRN9253571) and active in the NPI registry since January 2007. She is enrolled in Medicare PECOS, is affiliated with Holmes Regional Medical Center, and is a graduate of Other (2002).

NPPES Registry Identity

NPI1033268677
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameMRS. MERLYN M MCDONALDCredential: APRN
Location Address1130 HICKORY ST, STE. BMelbourne, FL 32901-1973
Mailing Address3300 S Fiske BlvdRockledge, FL 32955-4306 · (321) 752-0944
Fax(321) 434-7590
Sole ProprietorNo
Medical School CMSOtherGraduated 2002
Enumeration DateJanuary 10, 2007
Last NPPES UpdateMarch 25, 20257 updates tracked since enumeration
NPPES CertifiedMarch 24, 2025
NPI 1033268677 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License Licensed in FL · APRN9253571
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Also ListedNurse Practitioner · Women's HealthTaxonomy 363LW0102X · License APRN9253571 (FL)
1130 HICKORY ST, Melbourne, FL 32901

Other Names 1

Former Name (1)Ms. Merlyn M Henry Arnp

Other Identifiers 3

OtherAA627ZWFL · Medicare
Medicaid003250100FL
OtherP01833854FL · Fl Rr Medicare

Accepted Insurance

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

Mrs. Merlyn M Mcdonald Aprn 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 ID5092717355
PECOS Enrollment IDI20070215000504
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 2

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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
64 services62 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
31 services19 patients

Hospital Affiliations CMS Care Compare

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

Holmes Regional Medical Center

Acute Care Hospitals · Melbourne, FL
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100019
Location1350 S Hickory StMelbourne, FL 32901 · Brevard County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32901 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
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
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.

85.38/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality81.65
Promoting Interoperability78
Improvement Activities40

Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Adult Health)
1130 HICKORY ST
MELBOURNE, FL 32901
Internal Medicine (Medical Oncology)
1130 HICKORY ST
MELBOURNE, FL 32901
Internal Medicine (Medical Oncology)
1130 HICKORY ST
MELBOURNE, FL 32901
Urology
1130 HICKORY ST
MELBOURNE, FL 32901
Internal Medicine (Medical Oncology)
1130 HICKORY ST
MELBOURNE, FL 32901
Internal Medicine (Medical Oncology)
1130 HICKORY ST
MELBOURNE, FL 32901
Internal Medicine (Medical Oncology)
1130 HICKORY ST, SUITE B
MELBOURNE, FL 32901
Obstetrics & Gynecology (Gynecologic Oncology)
1130 HICKORY ST
MELBOURNE, FL 32901

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 Merlyn Mcdonald's NPI number?

The NPI number for Merlyn Mcdonald is 1033268677. It was assigned to this individual provider in the NPPES registry on January 10, 2007. The provider is also known as Ms. Merlyn M Henry Arnp.

Where is Merlyn Mcdonald located?

Merlyn Mcdonald practices at 1130 Hickory St Ste. B, Melbourne, FL 32901. The listed phone number is (321) 752-0944.

What is Merlyn Mcdonald's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Merlyn Mcdonald enrolled in Medicare?

Yes. Merlyn Mcdonald 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.

What insurance does Merlyn Mcdonald accept?

Health plans from Oscar Health Maintenance Organization of Florida and UnitedHealthcare list Merlyn Mcdonald 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.

Is Merlyn Mcdonald affiliated with any hospitals?

According to CMS data, Merlyn Mcdonald is affiliated with Holmes Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Merlyn Mcdonald was last updated on March 25, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months 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.