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JEFFREY MERRIAM CRNA
NPI 1487657847
Nurse Anesthetist, Certified Registered in Maple Grove, MN

Active since May 31, 2005PECOS EnrolledAccepts Medicare Assignment
9645 GROVE CIR N STE 250, MAPLE GROVE, MN 55369(763) 201-8191(763) 201-8192 Get Directions Write a Review

NPPES record last updated: June 13, 2018. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jun 13, 2018, Dec 15, 2015 (2 updates tracked since 2015).

About Jeffrey Merriam Crna NPPES

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

JEFFREY MERRIAM CRNA (NPI 1487657847) is an individual nurse anesthetist, certified registered in Maple Grove, Minnesota, licensed in Minnesota (R121082-8) and active in the NPI registry since May 2005. He is enrolled in Medicare PECOS and is a graduate of Other (1997).

NPPES Registry Identity

NPI1487657847
Entity TypeIndividualMale
Primary Taxonomy367500000X
Provider Legal NameJEFFREY MERRIAMCredential: CRNA
Location Address9645 GROVE CIR N STE 250Maple Grove, MN 55369
Mailing Address9645 Grove Cir N Ste 250Maple Grove, MN 55369-4466 · (763) 201-8191 · Fax (763) 201-8192
Phone(763) 201-8191
Fax(763) 201-8192
Sole ProprietorNo
Medical School CMSOtherGraduated 1997
Enumeration DateMay 31, 2005
Last NPPES UpdateJune 13, 20182 updates tracked since enumeration
✔ NPI 1487657847 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367500000X
License✔ Licensed in MN · R121082-8
Definition
(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.
9645 GROVE CIR N STE 250, Maple Grove, MN 55369
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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

Jeffrey Merriam Crna 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 ID8527963990
PECOS Enrollment IDI20031201000103
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 Jeffrey Merriam reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Anesthesia Associates, PLLC
Same address
Specialist
9645 GROVE CIR N STE 250
Maple Grove, MN 55369
  • Reassigned Medicare billing, Minnesota enrollment
  • 16 clinicians in this Medicare group
NPI 1104176205 (763) 201-8191

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55369 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
$127.61 typical visit price
range $56.00 – $168.28
Typical copayment $31.90 (range $14.00 – $42.07)
Most-billed visit code 99204
Established Patient
$69.74 typical visit price
range $18.32 – $138.04
Typical copayment $17.43 (range $4.58 – $34.51)
Most-billed visit code 99213
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 4

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

ANESTHESIA ASSOCIATES, PLLC
Specialist
9645 GROVE CIR N STE 250
MAPLE GROVE, MN 55369
Hennepin County (763) 201-8191
METROPOLITAN SURGICAL CENTER, LLC
Clinic/Center (Ambulatory Surgical)
9645 GROVE CIR N STE 250
MAPLE GROVE, MN 55369
Hennepin County (763) 201-8191
ALEXANDRA NICOLE KOES PA-C
Physician Assistant
9645 GROVE CIR N STE 250
MAPLE GROVE, MN 55369
Hennepin County (763) 201-8191
GREGORY S MELLESMOEN CRNA
Nurse Anesthetist, Certified Registered
9645 GROVE CIR N STE 250
MAPLE GROVE, MN 55369
Hennepin County (763) 201-8191

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 Jeffrey Merriam's NPI number?

The NPI number for Jeffrey Merriam is 1487657847. It was assigned to this individual provider in the NPPES registry on May 31, 2005.

Where is Jeffrey Merriam located?

Jeffrey Merriam practices at 9645 Grove Cir N Ste 250, Maple Grove, MN 55369. The listed phone number is (763) 201-8191.

What is Jeffrey Merriam's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

Is Jeffrey Merriam enrolled in Medicare?

Yes. Jeffrey Merriam 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 Jeffrey Merriam's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jeffrey Merriam reassigns Medicare benefits to Anesthesia Associates, PLLC (Maple Grove, MN). 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 Jeffrey Merriam's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Jeffrey Merriam was last updated on June 13, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.