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KAREN ANN MERRITT
NPI 1225569601
Nurse Practitioner - Acute Care in Port Huron, MI

Active since March 27, 2017PECOS EnrolledAccepts Medicare Assignment
4094 GRATIOT AVE, PORT HURON, MI 48060(810) 841-3771(810) 216-0505 Get Directions Write a Review

NPPES record last updated: March 27, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Karen Ann Merritt NPPES

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

KAREN ANN MERRITT (NPI 1225569601) is an individual acute care provider in Port Huron, Michigan, licensed in Michigan (4704091836) and active in the NPI registry since March 2017. She is enrolled in Medicare PECOS and is a graduate of Wayne State University School Of Medicine (2016).

NPPES Registry Identity

NPI1225569601
Entity TypeIndividualFemale
Primary Taxonomy363LA2100X
Provider Legal NameKAREN ANN MERRITT
Location Address4094 GRATIOT AVEPort Huron, MI 48060-1531
Mailing Address4094 Gratiot AvePort Huron, MI 48060-1531 · (810) 841-3771 · Fax (810) 216-0505
Phone(810) 841-3771
Fax(810) 216-0505
Sole ProprietorYes
Medical School CMSWayne State University School Of MedicineGraduated 2016
Enumeration DateMarch 27, 2017
✔ NPI 1225569601 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2100X
License✔ Licensed in MI · 4704091836
Also ListedNurse Practitioner · GerontologyTaxonomy 363LG0600X · License 4704091836 (MI)
4094 GRATIOT AVE, Port Huron, MI 48060
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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, Priority Health.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

Karen Ann Merritt 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 ID2769750553
PECOS Enrollment IDI20191112001851
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 3

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.

Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes 99349
An established patient home visit is a medical appointment conducted at your home, typically lasting around 40 minutes. This service is ideal for patients who may find it difficult to travel to a healthcare facility. During this visit, a healthcare professional will evaluate your health status, manage your care, and answer any health-related questions you may have.
97 services38 patients
Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes 99348
An established patient home visit is a 25-minute appointment where a healthcare provider visits you at your home. This service is for patients who have previously been seen by the provider. It includes a check-up and discussion about your health concerns.
65 services28 patients
Residence visit for established patient with high level of medical decision making, per day, if using time, at least 60 minutes 99350
An established patient home visit is a service where a healthcare professional visits a patient's home for a check-up or treatment. The visit typically lasts for about an hour. This service is especially beneficial for patients who may have difficulty traveling to a healthcare facility.
47 services26 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48060 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
$84.74 typical visit price
range $54.34 – $166.68
Typical copayment $21.18 (range $13.58 – $41.67)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.09 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

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 Karen Merritt's NPI number?

The NPI number for Karen Merritt is 1225569601. It was assigned to this individual provider in the NPPES registry on March 27, 2017.

Where is Karen Merritt located?

Karen Merritt practices at 4094 Gratiot Ave, Port Huron, MI 48060. The listed phone number is (810) 841-3771.

What is Karen Merritt's specialty?

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

Is Karen Merritt enrolled in Medicare?

Yes. Karen Merritt 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 Karen Merritt accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company and Priority Health list Karen Merritt 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 Karen Merritt was last updated on March 27, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.