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EDWARD MERKLE MA
NPI 1295077212
Counselor - Mental Health in New Smyrna Beach, FL

Active since March 18, 2013PECOS EnrolledAccepts Medicare Assignment
313 CEDAR AVE, NEW SMYRNA BEACH, FL 32169(386) 416-9767(386) 416-9767 Get Directions Write a Review

NPPES record last updated: January 30, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Edward Merkle Ma NPPES

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

EDWARD MERKLE MA (NPI 1295077212) is an individual mental health provider in New Smyrna Beach, Florida and active in the NPI registry since March 2013. He is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (1975).

NPPES Registry Identity

NPI1295077212
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameEDWARD MERKLECredential: MA
Location Address313 CEDAR AVENew Smyrna Beach, FL 32169-2618
Mailing Address313 Cedar AveNew Smyrna Beach, FL 32169-2618 · (386) 416-9767 · Fax (386) 416-9767
Phone(386) 416-9767
Fax(386) 416-9767
Sole ProprietorYes
Medical School CMSOtherGraduated 1975
Enumeration DateMarch 18, 2013
Last NPPES UpdateJanuary 30, 2025
NPPES CertifiedJanuary 30, 2025
✔ NPI 1295077212 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
Also ListedCounselorTaxonomy 101Y00000X
313 CEDAR AVE, New Smyrna Beach, FL 32169
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Secondary Practice Locations 2

Location 1804 Dunlawton AvePort Orange, FL 32127-4931 · Phone (386) 416-9767
Location 24770 S Ridgewood AvePort Orange, FL 32127-4544 · Phone (386) 416-9767

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Cigna Healthcare, Cigna HealthCare of Florida, Inc., Florida Blue (BlueCross BlueShield FL) and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Edward Merkle Ma 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 ID8820442619
PECOS Enrollment IDI20231221001458
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.

Medicare Billing Reassignment

Medicare enrollment records show Edward Merkle reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Edward Merkle
8.5 mi
Mental Health
4770 S RIDGEWOOD AVE
Port Orange, FL 32127
  • Reassigned Medicare billing, Florida enrollment
  • 2 clinicians in this Medicare group
NPI 1871059030 (386) 416-9767

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

Psychotherapy, 1 hour 90837
Psychotherapy is a therapeutic interaction or treatment between a trained professional and a patient. In a 1-hour session, you'll talk about your feelings, thoughts, and behaviors to help identify and manage mental health issues. This process aids in personal growth, healing, and improved well-being.
44 services13 patients

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 Edward Merkle's NPI number?

The NPI number for Edward Merkle is 1295077212. It was assigned to this individual provider in the NPPES registry on March 18, 2013.

Where is Edward Merkle located?

Edward Merkle practices at 313 Cedar Ave, New Smyrna Beach, FL 32169. The listed phone number is (386) 416-9767.

What is Edward Merkle's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Edward Merkle enrolled in Medicare?

Yes. Edward Merkle 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.

Which organization bills Medicare for Edward Merkle's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Edward Merkle reassigns Medicare benefits to Edward Merkle (Port Orange, FL). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Edward Merkle's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Edward Merkle accept?

Health plans from Cigna HealthCare of Florida, Inc., Cigna Healthcare, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) and Florida Health Care Plans and 2 other insurers list Edward Merkle 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 Edward Merkle was last updated on January 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months 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.