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MERRILYN E NELSON D.O.
NPI 1356540124
Family Medicine in Panama City, FL

Active since July 12, 2007PECOS EnrolledAccepts Medicare Assignment
625 W BALDWIN RD, PANAMA CITY, FL 32405(850) 769-6612 Get Directions Write a Review

NPPES record last updated: January 23, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Merrilyn E Nelson D.o. NPPES

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

MERRILYN E NELSON D.O. (NPI 1356540124) is an individual family medicine provider in Panama City, Florida, licensed in Florida (OS 14253) and active in the NPI registry since July 2007. She is enrolled in Medicare PECOS, is affiliated with Sentara Leigh Hospital, and is a graduate of Arizona College Of Osteopathic Medicine Mid Western University (2007).

NPPES Registry Identity

NPI1356540124
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameMERRILYN E NELSONCredential: D.O.
Location Address625 W BALDWIN RDPanama City, FL 32405-3333
Mailing Address625 W Baldwin RdPanama City, FL 32405-3333 · (850) 769-6612
Phone(850) 769-6612
Sole ProprietorYes
Medical School CMSArizona College Of Osteopathic Medicine Mid Western UniversityGraduated 2007
Enumeration DateJuly 12, 2007
Last NPPES UpdateJanuary 23, 2017
✔ NPI 1356540124 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses✔ Licensed in FL · OS 14253✔ Licensed in NE · 629
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
625 W BALDWIN RD, Panama City, FL 32405
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AvMed.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

Merrilyn E Nelson D.o. 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 ID9638300148
PECOS Enrollment IDI20190924001252
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 6

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
550 services216 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
161 services161 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
51 services41 patients
Transitional care management services for problem of high complexity 99496
Transitional care management services are designed to ensure a smooth transition from a hospital to home or another care setting for patients with complex health issues. These services include medication management, patient education, and coordination with healthcare providers.
21 services20 patients
Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and G0180
This is a service where a doctor or authorized practitioner certifies that you require Medicare-covered home health services. They will communicate with the home health agency and review reports on your health status to ensure you receive appropriate care. This does not involve an in-person visit.
16 services13 patients
Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment G0402
An Initial Preventive Physical Examination, also known as a "Welcome to Medicare" visit, is a one-time, face-to-face visit during your first 12 months of Medicare enrollment. It includes a review of your health, as well as education and counseling about preventive services and further screenings.
11 services11 patients

Hospital Affiliations CMS Care Compare 3

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

Sentara Leigh Hospital

Acute Care Hospitals · Norfolk, VA
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number490046
Location830 Kempsville RoadNorfolk, VA 23502 · Norfolk City County
Birthing friendly

Sentara Virginia Beach General Hospital

Acute Care Hospitals · Virginia Beach, VA
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number490057
Location1060 First Colonial RoadVirginia Beach, VA 23454 · Virginia Beach City County
Emergency services

Sentara Princess Anne Hospital

Acute Care Hospitals · Virginia Beach, VA
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number490119
Location2025 Glenn Mitchell DriveVirginia Beach, VA 23456 · Virginia Beach City County
Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32405 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
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
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.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
6 suppliers19 claims46 services$5.59 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
6 suppliers13 claims19 services$0.89 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

MR. WILLIAM R RHODES ARNP
Nurse Practitioner
625 W BALDWIN RD, SUITE C
PANAMA CITY, FL 32405
Bay County (850) 769-6612
NORTH BAY IMAGING LLC
Specialist
625 W BALDWIN RD, SUITE A
PANAMA CITY, FL 32405
Bay County (850) 785-7226
PRIMECARE OF NW FL
Family Medicine
625 W BALDWIN RD, STE C
PANAMA CITY, FL 32405
Bay County (850) 769-6612
JENNIFER GABRIELE POSTON APRN
Nurse Practitioner (Family)
625 W BALDWIN RD
PANAMA CITY, FL 32405
Bay County (850) 769-0329
MISS EUGENIA V MELNIK LPTA
Physical Therapy Assistant
625 W BALDWIN RD, STE C
PANAMA CITY, FL 32405
Bay County (850) 769-6612

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 Merrilyn Nelson's NPI number?

The NPI number for Merrilyn Nelson is 1356540124. It was assigned to this individual provider in the NPPES registry on July 12, 2007.

Where is Merrilyn Nelson located?

Merrilyn Nelson practices at 625 W Baldwin Rd, Panama City, FL 32405. The listed phone number is (850) 769-6612.

What is Merrilyn Nelson's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Merrilyn Nelson enrolled in Medicare?

Yes. Merrilyn Nelson 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 Merrilyn Nelson accept?

Health plans from AvMed list Merrilyn Nelson 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 Merrilyn Nelson affiliated with any hospitals?

According to CMS data, Merrilyn Nelson is affiliated with Sentara Leigh Hospital, Sentara Virginia Beach General Hospital and Sentara Princess Anne Hospital.

When was this NPI record last updated?

The NPPES record for Merrilyn Nelson was last updated on January 23, 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.