1. Home
  2. Directory
  3. New York
  4. Johnson City
  5. Nurse Practitioner
  6. NPI Profile

KIMBERLY HAGEMAN MERRILL NP-C
NPI 1225325921
Nurse Practitioner - Adult Health in Johnson City, NY

Active since July 01, 2011PECOS EnrolledAccepts Medicare Assignment
84.63/100
CMS Quality Rating
30 HARRISON ST, SUITE 100, JOHNSON CITY, NY 13790(607) 763-6850 Get Directions Write a Review

NPPES record last updated: April 23, 2014. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Kimberly Hageman Merrill Np-c NPPES

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

KIMBERLY HAGEMAN MERRILL NP-C (NPI 1225325921) is an individual adult health provider in Johnson City, New York, licensed in New York (305734) and active in the NPI registry since July 2011. She is enrolled in Medicare PECOS, is affiliated with Our Lady Of Lourdes Memorial Hospital, Inc, and is a graduate of Other (2011).

NPPES Registry Identity

NPI1225325921
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameKIMBERLY HAGEMAN MERRILLCredential: NP-C
Location Address30 HARRISON ST, SUITE 100Johnson City, NY 13790-2161
Mailing Address8986 W Creek RdBerkshire, NY 13736-1342
Phone(607) 763-6850
Sole ProprietorNo
Medical School CMSOtherGraduated 2011
Enumeration DateJuly 1, 2011
Last NPPES UpdateApril 23, 2014
✔ NPI 1225325921 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License✔ Licensed in NY · 305734
30 HARRISON ST, Johnson City, NY 13790
Open in Google Maps ↗

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

Kimberly Hageman Merrill Np-c 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 ID8628248432
PECOS Enrollment IDI20110906000557
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.

Hospital Affiliations CMS Care Compare 3

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

Our Lady Of Lourdes Memorial Hospital, Inc

Acute Care Hospitals · Binghamton, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330011
Location169 Riverside DriveBinghamton, NY 13905 · Broome County
Emergency services Birthing friendly

Chenango Memorial Hospital

Acute Care Hospitals · Norwich, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330033
Location179 North Broad StreetNorwich, NY 13815 · Chenango County
Emergency services Birthing friendly

United Health Services Hospitals, Inc

Acute Care Hospitals · Binghamton, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330394
Location10-42 Mitchell AvenueBinghamton, NY 13903 · Broome County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 13790 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
$84.93 typical visit price
range $54.87 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.08 typical visit price
range $17.54 – $136.14
Typical copayment $24.27 (range $4.38 – $34.03)
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.

84.63/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality87.96
Promoting Interoperability100
Improvement Activities40
Cost54.42

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Capecitabine, oral, 500 mg J8521
Treatment-Treatment - Miscellaneous · category RX029N
3 suppliers16 claims1,082 services$0.64 avg. paid by Medicare
Temozolomide, oral, 5 mg J8700
Treatment-Treatment - Miscellaneous · category RX000N
2 suppliers15 claims5,000 services$0.23 avg. paid by Medicare
Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period Q0512
Treatment-Chemotherapy · category RH012N
3 suppliers27 claims36 services$12.61 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 20

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

DR. MICHAIL VITELLAS MD
Internal Medicine (Cardiovascular Disease)
30 HARRISON ST, SUITE 250
JOHNSON CITY, NY 13790
Broome County (607) 770-8600
JAMES J VINCENS MD
Internal Medicine (Cardiovascular Disease)
30 HARRISON ST, STE 250
JOHNSON CITY, NY 13790
Broome County (607) 770-8600
JEROME H ROSENSTEIN MD PLLC
Specialist
30 HARRISON ST, SUITE 320
JOHNSON CITY, NY 13790
Broome County (607) 763-8205
J RICHARD CUNNINGHAM MD
Surgery
30 HARRISON ST, SUITE 455
JOHNSON CITY, NY 13790
Broome County (607) 763-8100
SERAZUL A KHAN MD
Internal Medicine (Hematology & Oncology)
30 HARRISON ST, SUITE 100
JOHNSON CITY, NY 13790
Broome County (607) 763-6850
MARK BRENNAN DO
Surgery (Vascular Surgery)
30 HARRISON ST, STE 455
JOHNSON CITY, NY 13790
Broome County (607) 763-8100
CARDIOLOGY ASSOCIATES PC
Internal Medicine (Cardiovascular Disease)
30 HARRISON ST, STE 250
JOHNSON CITY, NY 13790
Broome County (607) 770-8600
WENDY RENEE ROBINSON NP
Nurse Practitioner
30 HARRISON ST, SUITE 320
JOHNSON CITY, NY 13790
Broome County (607) 763-8205

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 Kimberly Merrill's NPI number?

The NPI number for Kimberly Merrill is 1225325921. It was assigned to this individual provider in the NPPES registry on July 1, 2011.

Where is Kimberly Merrill located?

Kimberly Merrill practices at 30 Harrison St Suite 100, Johnson City, NY 13790. The listed phone number is (607) 763-6850.

What is Kimberly Merrill's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is Kimberly Merrill enrolled in Medicare?

Yes. Kimberly Merrill 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.

Is Kimberly Merrill affiliated with any hospitals?

According to CMS data, Kimberly Merrill is affiliated with Our Lady Of Lourdes Memorial Hospital, Inc, Chenango Memorial Hospital and United Health Services Hospitals, Inc.

When was this NPI record last updated?

The NPPES record for Kimberly Merrill was last updated on April 23, 2014. NPI Profile syncs with the weekly NPPES data releases published by CMS.