ANETA MERGEN FNP-C
NPI 1235778507
Nurse Practitioner in Sioux Falls, SD
About Aneta Mergen Fnp-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ANETA MERGEN FNP-C (NPI 1235778507) is an individual nurse practitioner in Sioux Falls, South Dakota, licensed in South Dakota (CP001698) and active in the NPI registry since January 2020. She is enrolled in Medicare PECOS, is affiliated with Sanford Canby Medical Center, and is a graduate of Other (2019).
NPPES Registry Identity
Specialties & Licenses
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Accepted 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
Aneta Mergen Fnp-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.
Areas of Expertise CMS Part B claims
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 Affiliations CMS Care Compare 5
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Sanford Canby Medical Center
Critical Access Hospitals · Canby, MNSanford Luverne Medical Center
Critical Access Hospitals · Luverne, MNSanford Usd Medical Center
Acute Care Hospitals · Sioux Falls, SDSanford Hospital Webster - Cah
Critical Access Hospitals · Webster, SDSanford Vermillion Hospital
Critical Access Hospitals · Vermillion, SDPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 57105 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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.
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 Aneta Mergen's NPI number?
The NPI number for Aneta Mergen is 1235778507. It was assigned to this individual provider in the NPPES registry on January 3, 2020.
Where is Aneta Mergen located?
Aneta Mergen practices at 1301 W 18th St, Sioux Falls, SD 57105. The listed phone number is (605) 312-2200.
What is Aneta Mergen's specialty?
The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.
Is Aneta Mergen enrolled in Medicare?
Yes. Aneta Mergen 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 Aneta Mergen accept?
Health plans from Medica and Security Health Plan list Aneta Mergen 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 Aneta Mergen affiliated with any hospitals?
According to CMS data, Aneta Mergen is affiliated with Sanford Canby Medical Center, Sanford Luverne Medical Center, Sanford Usd Medical Center, Sanford Hospital Webster - Cah and Sanford Vermillion Hospital.
When was this NPI record last updated?
The NPPES record for Aneta Mergen was last updated on December 3, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.
