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SAMUEL ALEXANDER MERCHUN PA-C
NPI 1093462202
Physician Assistant - Medical in Grand Rapids, MI

Active since March 08, 2022PECOS Enrolled
96.27/100
CMS Quality Rating
4100 EMBASSY DR SE STE 400, GRAND RAPIDS, MI 49546(616) 988-8220 Get Directions Write a Review

NPPES record last updated: March 8, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Samuel Alexander Merchun Pa-c NPPES

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

SAMUEL ALEXANDER MERCHUN PA-C (NPI 1093462202) is an individual medical provider in Grand Rapids, Michigan and active in the NPI registry since March 2022. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1093462202
Entity TypeIndividualMale
Primary Taxonomy363AM0700X
Provider Legal NameSAMUEL ALEXANDER MERCHUNCredential: PA-C
Location Address4100 EMBASSY DR SE STE 400Grand Rapids, MI 49546-2416
Mailing Address7160 Cuesta Way Dr NeRockford, MI 49341-9493 · (616) 826-9787
Phone(616) 988-8220
Sole ProprietorNo
Enumeration DateMarch 8, 2022
NPPES CertifiedMarch 8, 2022
✔ NPI 1093462202 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
4100 EMBASSY DR SE STE 400, Grand Rapids, MI 49546
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company.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)

Samuel Alexander Merchun Pa-c 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.

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.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
76 services76 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
44 services43 patients

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.

96.27/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality87.89
Improvement Activities40

Other Providers at the Same Location NPPES 14

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

DR. NICHOLAS PHILIP FRAME M.D.
Emergency Medicine
4100 EMBASSY DR SE STE 400
GRAND RAPIDS, MI 49546
Kent County (616) 988-8220
MRS. STEPHANIE C MULLENNIX RN, CEN, AGCNS-BC
Clinical Nurse Specialist
4100 EMBASSY DR SE STE 400
GRAND RAPIDS, MI 49546
Kent County (616) 988-8233
STEPHANIE FLOHR RN
Registered Nurse
4100 EMBASSY DR SE STE 400
GRAND RAPIDS, MI 49546
Kent County (616) 988-8239
REBECCA MARIE CLINE PA-C
Physician Assistant
4100 EMBASSY DR SE STE 400
GRAND RAPIDS, MI 49546
Kent County (616) 285-8075
SHELBY PETERSEN
Physician Assistant
4100 EMBASSY DR SE STE 400
GRAND RAPIDS, MI 49546
Kent County (822) 061-6988
CARRIE LYNN WOOD FNP-C
Nurse Practitioner
4100 EMBASSY DR SE STE 400
GRAND RAPIDS, MI 49546
Kent County (616) 988-8220
LINDA LOU MD
Emergency Medicine
4100 EMBASSY DR SE STE 400
GRAND RAPIDS, MI 49546
Kent County (616) 975-1845
SONIA NICOLA
Physician Assistant
4100 EMBASSY DR SE STE 400
GRAND RAPIDS, MI 49546
Kent County (616) 988-8220

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 Samuel Merchun's NPI number?

The NPI number for Samuel Merchun is 1093462202. It was assigned to this individual provider in the NPPES registry on March 8, 2022.

Where is Samuel Merchun located?

Samuel Merchun practices at 4100 Embassy Dr SE Ste 400, Grand Rapids, MI 49546. The listed phone number is (616) 988-8220.

What is Samuel Merchun's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Samuel Merchun enrolled in Medicare?

Yes. Samuel Merchun is registered in the Medicare PECOS enrollment system.

What insurance does Samuel Merchun accept?

Health plans from Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company list Samuel Merchun 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.

When was this NPI record last updated?

The NPPES record for Samuel Merchun was last updated on March 8, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.