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THERESE LYNETTE MERRILL FNP-C
NPI 1255898466
Nurse Practitioner in Mckinney, TX

Active since February 24, 2019PECOS Enrolled
75/100
CMS Quality Rating
5830 COLLIN MCKINNEY PKWY STE 302, MCKINNEY, TX 75070(214) 272-2774 Get Directions Write a Review

NPPES record last updated: November 1, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 1, 2023, Jul 13, 2020, Apr 22, 2019 and 1 more (4 updates tracked since 2019).

About Therese Lynette Merrill Fnp-c NPPES

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

THERESE LYNETTE MERRILL FNP-C (NPI 1255898466) is an individual nurse practitioner in Mckinney, Texas, licensed in Texas (AP140768) and active in the NPI registry since February 2019. She is enrolled in Medicare PECOS and is a graduate of Other (2018).

NPPES Registry Identity

NPI1255898466
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameTHERESE LYNETTE MERRILLCredential: FNP-C
Location Address5830 COLLIN MCKINNEY PKWY STE 302Mckinney, TX 75070-5109
Mailing AddressPo Box 516Oregon, IL 61061-0516
Phone(214) 272-2774
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateFebruary 24, 2019
Last NPPES UpdateNovember 1, 20234 updates tracked since enumeration
NPPES CertifiedMarch 30, 2021
✔ NPI 1255898466 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in TX · AP140768
Definition
(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.
Also ListedFamily MedicineTaxonomy 207Q00000X · License AP140768 (TX)
5830 COLLIN MCKINNEY PKWY STE 302, Mckinney, TX 75070
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Other Identifiers 1

Medicaid403090001TX

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, Imperial Insurance Companies, Inc., Molina Healthcare 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 (PECOS)

Therese Lynette Merrill Fnp-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3072856632
PECOS Enrollment IDI20190522001555
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 4

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.

Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
1,816 services227 patients
Initial nursing facility care with high level of medical decision making, per day, if using time, 50 minutes or more 99306
An initial nursing facility visit is your first meeting with your healthcare team at a nursing facility. Lasting typically 45 minutes, this appointment involves a comprehensive health assessment and the creation of your personalized care plan. It's a crucial step to ensure your health and well-being.
208 services182 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
81 services29 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
23 services22 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75070 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
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
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.

75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored

Other Providers at the Same Location NPPES 3

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

CODY WALKER FNP-BC
Nurse Practitioner (Family)
5830 COLLIN MCKINNEY PKWY STE 302
MCKINNEY, TX 75070
Collin County (214) 272-2774
ALFARRA SOUKIEH PLLC
Family Medicine
5830 COLLIN MCKINNEY PKWY STE 302
MCKINNEY, TX 75070
Collin County (319) 573-7317
KELLY NICOLE LENHART AGACNP-BC
Nurse Practitioner
5830 COLLIN MCKINNEY PKWY STE 302
MCKINNEY, TX 75070
Collin County (972) 679-5564

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 Therese Merrill's NPI number?

The NPI number for Therese Merrill is 1255898466. It was assigned to this individual provider in the NPPES registry on February 24, 2019.

Where is Therese Merrill located?

Therese Merrill practices at 5830 Collin Mckinney Pkwy Ste 302, Mckinney, TX 75070. The listed phone number is (214) 272-2774.

What is Therese Merrill's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Therese Merrill enrolled in Medicare?

Yes. Therese Merrill is registered in the Medicare PECOS enrollment system.

What insurance does Therese Merrill accept?

Health plans from Blue Cross and Blue Shield of Texas, Imperial Insurance Companies, Inc., Molina Healthcare and Oscar Insurance Company list Therese Merrill 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 Therese Merrill was last updated on November 1, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.