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STEPHANIE MERRILL
NPI 1265051239
Nurse Practitioner - Family in Ottumwa, IA

Active since April 10, 2020PECOS EnrolledAccepts Medicare Assignment
1255 THEATRE DR, OTTUMWA, IA 52501(641) 684-2551 Get Directions Write a Review

NPPES record last updated: April 10, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Stephanie Merrill NPPES

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

STEPHANIE MERRILL (NPI 1265051239) is an individual family provider in Ottumwa, Iowa, licensed in Iowa (A158391) and active in the NPI registry since April 2020. She is enrolled in Medicare PECOS, is affiliated with Ottumwa Regional Health Center, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1265051239
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameSTEPHANIE MERRILL
Location Address1255 THEATRE DROttumwa, IA 52501-3772
Mailing Address1001 Pennsylvania AveOttumwa, IA 52501-6427 · (641) 684-2300
Phone(641) 684-2551
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateApril 10, 2020
NPPES CertifiedApril 10, 2020
✔ NPI 1265051239 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in IA · A158391
1255 THEATRE DR, Ottumwa, IA 52501
Open in Google Maps ↗

Other Names 1

Former Name (1)Stephanie Merrill Arnp

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter from NH Healthy Families, Ambetter from Sunflower Health Plan 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

Stephanie Merrill 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 ID3072932961
PECOS Enrollment IDI20200925001437
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 2

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.

Urinalysis, manual test 81002
A urinalysis is a simple, non-invasive test that checks the urine for various elements such as sugar, protein, and signs of infection. It can help detect many common conditions, including kidney disease and diabetes. The manual test involves a lab technician examining a urine sample.
41 services31 patients
Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus and influenza 87428
This test uses a method called immunoassay to identify severe acute respiratory syndrome coronavirus and influenza. It works by detecting specific proteins (antigens) in a sample, like a nasal swab. It's a powerful tool in diagnosing these viral infections.
23 services23 patients

Hospital Affiliations CMS Care Compare

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

Ottumwa Regional Health Center

Acute Care Hospitals · Ottumwa, IA
2/5 CMS rating
OwnershipProprietary
CMS Certification Number160089
Location1001 E PennsylvaniaOttumwa, IA 52501 · Wapello County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 52501 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
$81.84 typical visit price
range $52.96 – $161.40
Typical copayment $20.46 (range $13.24 – $40.35)
Most-billed visit code 99203
Established Patient
$94.05 typical visit price
range $16.91 – $131.98
Typical copayment $23.51 (range $4.22 – $32.99)
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.

Other Providers at the Same Location NPPES 5

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

ASPEN DENTAL POP OTTUMWA PC
Dentist (General Practice)
1255 THEATRE DR
OTTUMWA, IA 52501
Wapello County (641) 954-3390
DYER DENTAL, PLLC
Dentist (General Practice)
1255 THEATRE DR
OTTUMWA, IA 52501
Wapello County (641) 954-3390
OTTUMWA HEALTH GROUP LLC
Clinic/Center (Rural Health)
1255 THEATRE DR
OTTUMWA, IA 52501
Wapello County (641) 684-2551
KYLE P COMPAAN
Nurse Practitioner (Family)
1255 THEATRE DR, B
OTTUMWA, IA 52501
Wapello County (641) 684-2551
DR. JON DYER DDS
Dentist
1255 THEATRE DR
OTTUMWA, IA 52501
Wapello County (641) 954-3390

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 Stephanie Merrill's NPI number?

The NPI number for Stephanie Merrill is 1265051239. It was assigned to this individual provider in the NPPES registry on April 10, 2020. The provider is also known as Stephanie Merrill Arnp.

Where is Stephanie Merrill located?

Stephanie Merrill practices at 1255 Theatre Dr, Ottumwa, IA 52501. The listed phone number is (641) 684-2551.

What is Stephanie Merrill's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Stephanie Merrill enrolled in Medicare?

Yes. Stephanie 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.

What insurance does Stephanie Merrill accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Ambetter from NH Healthy Families and Ambetter from Sunflower Health Plan and 1 other insurer list Stephanie 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.

Is Stephanie Merrill affiliated with any hospitals?

According to CMS data, Stephanie Merrill is affiliated with Ottumwa Regional Health Center.

When was this NPI record last updated?

The NPPES record for Stephanie Merrill was last updated on April 10, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.