JORDAN MERRYMAN APRN
NPI 1033820683
Nurse Practitioner - Neonatal in Louisville, KY

Q: What is Jordan Merryman's NPI number?

The NPI number for Jordan Merryman is 1033820683. It was assigned to this individual provider in the NPPES registry on December 5, 2022.

Q: What is Jordan Merryman's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Neonatal, with taxonomy code 363LN0000X.

Q: When was this NPI record last updated?

The NPPES record for Jordan Merryman was last updated on February 28, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since December 05, 2022PECOS Enrolled

4123 DUTCHMANS LN STE 606, LOUISVILLE, KY 40207(502) 896-2500(502) 896-2527 Get Directions Write a Review

NPPES record last updated: February 28, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Feb 28, 2023, Dec 5, 2022 (2 updates tracked since 2022).

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About Jordan Merryman Aprn NPPES

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

JORDAN MERRYMAN APRN (NPI 1033820683) is an individual neonatal provider in Louisville, Kentucky, licensed in Kentucky (3018509) and active in the NPI registry since December 2022. She is enrolled in Medicare PECOS and maintains a secondary practice location in Louisville.

NPPES Registry Identity

NPI1033820683

Entity TypeIndividualFemale

Primary Taxonomy363LN0000X

Provider Legal NameJORDAN MERRYMANCredential: APRN

Location Address4123 DUTCHMANS LN STE 606Louisville, KY 40207-4725

Mailing AddressPo Box 776879Chicago, IL 60677-6879 · (502) 588-9490 · Fax (502) 272-5116

Phone(502) 896-2500

Fax(502) 896-2527

Sole ProprietorNo

Enumeration DateDecember 5, 2022

Last NPPES UpdateFebruary 28, 20232 updates tracked since enumeration

NPPES CertifiedFebruary 28, 2023

✔ NPI 1033820683 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · NeonatalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LN0000X

License✔ Licensed in KY · 3018509

4123 DUTCHMANS LN STE 606, Louisville, KY 40207

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Secondary Practice Location 1

Location 14123 Dutchmans LnLouisville, KY 40207-4707 · Phone (502) 896-2500

Other Identifiers 2

Medicaid300071392IN

Medicaid7100873300KY

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jordan Merryman Aprn is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40207 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

$82.24 typical visit price

range $52.76 – $162.27

Typical copayment $20.56 (range $13.19 – $40.56)

Most-billed visit code 99203

Established Patient

$93.94 typical visit price

range $16.53 – $131.99

Typical copayment $23.48 (range $4.13 – $32.99)

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.

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Other Providers at the Same Location NPPES 19

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

WESLEY THOMAS APRN

Nurse Practitioner (Neonatal)