CASSIDY DIANE MERKLEN
NPI 1407506280
Student in an Organized Health Care Education/Training Program in Detroit, MI

Q: What is Cassidy Merklen's NPI number?

The NPI number for Cassidy Merklen is 1407506280. It was assigned to this individual provider in the NPPES registry on March 25, 2022.

Q: What is Cassidy Merklen's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Cassidy Merklen was last updated on March 25, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since March 25, 2022PECOS Enrolled

2799 W GRAND BLVD # 258, DETROIT, MI 48202(313) 916-1553(313) 916-7437 Get Directions Write a Review

NPPES record last updated: March 25, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About Cassidy Diane Merklen NPPES

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

CASSIDY DIANE MERKLEN (NPI 1407506280) is an individual student in an organized health care education/training program in Detroit, Michigan and active in the NPI registry since March 2022. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1407506280

Entity TypeIndividualFemale

Primary Taxonomy390200000X

Provider Legal NameCASSIDY DIANE MERKLEN

Location Address2799 W GRAND BLVD # 258Detroit, MI 48202-2689

Mailing Address2799 W Grand Blvd # 258Detroit, MI 48202-2689 · (313) 916-1553 · Fax (313) 916-7437

Phone(313) 916-1553

Fax(313) 916-7437

Sole ProprietorNo

Enumeration DateMarch 25, 2022

NPPES CertifiedMarch 25, 2022

✔ NPI 1407506280 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

2799 W GRAND BLVD # 258, Detroit, MI 48202

Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Cassidy Diane Merklen is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Other Providers at the Same Location NPPES 6

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

DR. CONNOR MATTHEW BUNCH MD

Student in an Organized Health Care Education/Training Program