MERRILL DEPETRILLO NP
NPI 1366458192
Nurse Practitioner in Jasper, GA

Q: What is Merrill Depetrillo's NPI number?

The NPI number for Merrill Depetrillo is 1366458192. It was assigned to this individual provider in the NPPES registry on August 1, 2006.

Q: What is Merrill Depetrillo's specialty?

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

Active since August 01, 2006PECOS EnrolledAccepts Medicare Assignment

1266 HIGHWAY 515 S, JASPER, GA 30143(706) 692-2441 Get Directions Write a Review

NPPES record last updated: October 8, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 8, 2025, Aug 25, 2023, Jul 26, 2023 and 1 more (4 updates tracked since 2022).

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About Merrill Depetrillo Np NPPES

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

MERRILL DEPETRILLO NP (NPI 1366458192) is an individual nurse practitioner in Jasper, Georgia, licensed in Georgia (RN108911) and active in the NPI registry since August 2006. She is enrolled in Medicare PECOS, is affiliated with Piedmont Mountainside Hospital Inc, and is a graduate of Other (1996).

NPPES Registry Identity

NPI1366458192

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameMERRILL DEPETRILLOCredential: NP

Location Address1266 HIGHWAY 515 SJasper, GA 30143-4872

Mailing Address6010 Riley RdCumming, GA 30028-5927

Phone(706) 692-2441

Sole ProprietorNo

Medical School CMSOtherGraduated 1996

Enumeration DateAugust 1, 2006

Last NPPES UpdateOctober 8, 20254 updates tracked since enumeration

NPPES CertifiedOctober 8, 2025

✔ NPI 1366458192 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 GA · RN108911

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 ListedInternal Medicine · Cardiovascular DiseaseTaxonomy 207RC0000X · License RN108911 (GA)

1266 HIGHWAY 515 S, Jasper, GA 30143

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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

Merrill Depetrillo Np 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 ID2567812985

PECOS Enrollment IDI20231228000332

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

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.

Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision by physician 93016

An exercise or drug-induced heart stress test with ECG involves monitoring your heart's activity while it's under stress, either from exercise or medication. A doctor supervises the entire procedure to ensure safety and accuracy in results. This test helps detect heart problems.

39 services39 patients

Hospital Affiliations CMS Care Compare

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

Piedmont Mountainside Hospital Inc

Acute Care Hospitals · Jasper, GA

4/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number110225

Location1266 Highway 515 SouthJasper, GA 30143 · Pickens County

Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30143 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

$83.23 typical visit price

range $53.31 – $164.04

Typical copayment $20.80 (range $13.32 – $41.01)

Most-billed visit code 99203

Established Patient

$94.84 typical visit price

range $16.68 – $133.24

Typical copayment $23.71 (range $4.17 – $33.31)

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 20

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

PIEDMONT MOUNTAINSIDE HOSPITAL, INC

Medicare Defined Swing Bed Unit