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CLAUDIA MERKLEY ACNP
NPI 1174524573
Nurse Practitioner - Acute Care in Evansville, IN

Active since August 09, 2005PECOS EnrolledAccepts Medicare Assignment
95.57/100
CMS Quality Rating
901 ST MARYS DR, SUITE 300, EVANSVILLE, IN 47714(812) 473-2642(812) 474-4458 Get Directions Write a Review

NPPES record last updated: July 26, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Claudia Merkley Acnp NPPES

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

CLAUDIA MERKLEY ACNP (NPI 1174524573) is an individual acute care provider in Evansville, Indiana, licensed in Indiana (71001037A) and active in the NPI registry since August 2005. She is enrolled in Medicare PECOS, is affiliated with Ascension St Vincent Evansville, and is a graduate of Other (2000).

NPPES Registry Identity

NPI1174524573
Entity TypeIndividualFemale
Primary Taxonomy363LA2100X
Provider Legal NameCLAUDIA MERKLEYCredential: ACNP
Location Address901 ST MARYS DR, SUITE 300Evansville, IN 47714-8005
Mailing Address901 Saint Marys Dr Ste 300Evansville, IN 47714-0521
Phone(812) 473-2642
Fax(812) 474-4458
Sole ProprietorNo
Medical School CMSOtherGraduated 2000
Enumeration DateAugust 9, 2005
Last NPPES UpdateJuly 26, 2022
NPPES CertifiedJuly 26, 2022
✔ NPI 1174524573 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2100X
License✔ Licensed in IN · 71001037A
901 ST MARYS DR, Evansville, IN 47714
Open in Google Maps ↗

Other Identifiers 2

Medicaid200299220AIN
Medicaid78005881KY

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.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

Claudia Merkley Acnp 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 ID7618165127
PECOS Enrollment IDI20101228000903
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 7

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.

Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
43 services43 patients
Coronary artery bypass using artery graft, 1 graft 33533
A coronary artery bypass with one artery graft is a surgical procedure to improve blood flow to your heart. An artery from another part of your body is used to bypass a blocked or narrowed coronary artery. This can help reduce chest pain and risk of heart attack.
25 services25 patients
Extensive destruction and reconstruction of right upper heart chamber on heart-lung machine 33259
This procedure involves the significant repair and rebuilding of the right upper chamber of your heart, using a heart-lung machine. This machine takes over heart and lung functions during the operation, ensuring oxygen-rich blood circulates in your body.
22 services22 patients
Harvest of vein using an endoscope 33508
Harvesting a vein using an endoscope is a procedure where a small camera is used to help surgeons remove a vein from your body. This vein is often used to bypass a blocked artery, improving blood flow to your heart.
22 services22 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
17 services16 patients
Coronary artery bypass using vein or artery graft, 1 graft 33517
A coronary artery bypass is a surgical procedure that improves blood flow to the heart. A vein or artery from another part of your body is used to create a new route for blood to bypass a blocked coronary artery. This helps relieve chest pain and reduce heart attack risk.
11 services11 patients

Hospital Affiliations CMS Care Compare

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

Ascension St Vincent Evansville

Acute Care Hospitals · Evansville, IN
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150100
Location3700 Washington AveEvansville, IN 47750 · Vanderburgh County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 47714 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
$82.04 typical visit price
range $53.07 – $161.76
Typical copayment $20.51 (range $13.26 – $40.44)
Most-billed visit code 99203
Established Patient
$94.22 typical visit price
range $16.93 – $132.22
Typical copayment $23.55 (range $4.23 – $33.05)
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.

95.57/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality89.32
Promoting Interoperability100
Improvement Activities40

Reported Quality Measures

Provide Patients Electronic Access to Their Health Information
91%22 patients4/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 2

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

OHIO VALLEY HEARTCARE INC
Internal Medicine (Cardiovascular Disease)
901 ST MARYS DR, SUITE 300
EVANSVILLE, IN 47714
Vanderburgh County (812) 473-2642
DR. LARRY DEAN BUCSHON MD
Thoracic Surgery (Cardiothoracic Vascular Surgery)
901 ST MARYS DR, SUITE 300
EVANSVILLE, IN 47714
Vanderburgh County (812) 473-2642

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 Claudia Merkley's NPI number?

The NPI number for Claudia Merkley is 1174524573. It was assigned to this individual provider in the NPPES registry on August 9, 2005.

Where is Claudia Merkley located?

Claudia Merkley practices at 901 St Marys Dr Suite 300, Evansville, IN 47714. The listed phone number is (812) 473-2642.

What is Claudia Merkley's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Is Claudia Merkley enrolled in Medicare?

Yes. Claudia Merkley 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 Claudia Merkley accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian and CareSource list Claudia Merkley 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 Claudia Merkley affiliated with any hospitals?

According to CMS data, Claudia Merkley is affiliated with Ascension St Vincent Evansville.

When was this NPI record last updated?

The NPPES record for Claudia Merkley was last updated on July 26, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.