DIANE R MERRILL NP
NPI 1487767406
Nurse Practitioner in Concord, NC

Active since August 16, 2006PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
1090 NE GATEWAY CT NE, STE 201, CONCORD, NC 28025(704) 403-7770 Get Directions Write a Review

NPPES record last updated: July 15, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jul 15, 2024, May 4, 2023, Mar 9, 2023 and 47 more (50 updates tracked since 2016).

About Diane R Merrill Np NPPES

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

DIANE R MERRILL NP (NPI 1487767406) is an individual nurse practitioner in Concord, North Carolina, licensed in North Carolina (960021) and active in the NPI registry since August 2006. She is enrolled in Medicare PECOS, is affiliated with Carolinas Medical Center-northeast, and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1487767406
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameDIANE R MERRILLCredential: NP
Location Address1090 NE GATEWAY CT NE, STE 201Concord, NC 28025-2414
Mailing AddressPo Box 19305Charlotte, NC 28219-9305
Sole ProprietorNo
Medical School CMSOtherGraduated 1998
Enumeration DateAugust 16, 2006
Last NPPES UpdateJuly 15, 202450 updates tracked since enumeration
NPI 1487767406 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License Licensed in NC · 960021
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.

1090 NE GATEWAY CT NE, Concord, NC 28025

Secondary Practice Locations 3

Location 1920 Church St NConcord, NC 28025-2927 · Phone (704) 403-1311
Location 2100 Medical Park Dr, Ste 210Concord, NC 28025-2948 · Phone (704) 403-6100
Location 3200 Medical Park Dr, Ste 230Concord, NC 28025-2982 · Phone (704) 403-1349

Accepted 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

Diane R Merrill 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 ID5395725907
PECOS Enrollment IDI20040723000610
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 7

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.
210 services154 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
28 services22 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
18 services18 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
17 services17 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
13 services13 patients
Evaluation of use of breathing device 94664
The evaluation of a breathing device involves checking how effectively you're using it to manage your respiratory condition. It assesses the device's fit, your comfort, and your technique to ensure optimal results.
12 services11 patients

Hospital Affiliations CMS Care Compare 2

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

Carolinas Medical Center-Northeast

Acute Care Hospitals · Concord, NC
4/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number340001
Location920 Church St NConcord, NC 28025 · Cabarrus County
Emergency services Birthing friendly

Carolinas Medical Center/Behav Health

Acute Care Hospitals · Charlotte, NC
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number340113
Location1000 Blythe BlvdCharlotte, NC 28203 · Mecklenburg County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28025 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
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$95.94 typical visit price
range $17.21 – $134.61
Typical copayment $23.98 (range $4.30 – $33.65)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Promoting Interoperability99
Improvement Activities40

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.

Physical Therapist
1090 NE GATEWAY CT NE, SUITE 204A
CONCORD, NC 28025
Audiologist-Hearing Aid Fitter
1090 NE GATEWAY CT NE, SUITE 101
CONCORD, NC 28025
Audiologist-Hearing Aid Fitter
1090 NE GATEWAY CT NE, SUITE 101
CONCORD, NC 28025
Speech-Language Pathologist
1090 NE GATEWAY CT NE, SUITE 101
CONCORD, NC 28025
Audiologist
1090 NE GATEWAY CT NE
CONCORD, NC 28025
Family Medicine
1090 NE GATEWAY CT NE, STE 202
CONCORD, NC 28025
Nurse Practitioner
1090 NE GATEWAY CT NE, STE 204
CONCORD, NC 28025
Nurse Practitioner
1090 NE GATEWAY CT NE, STE 202
CONCORD, NC 28025

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 Diane Merrill's NPI number?

The NPI number for Diane Merrill is 1487767406. It was assigned to this individual provider in the NPPES registry on August 16, 2006.

Where is Diane Merrill located?

Diane Merrill practices at 1090 NE Gateway Ct NE Ste 201, Concord, NC 28025. The listed phone number is (704) 403-7770.

What is Diane Merrill's specialty?

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

Is Diane Merrill enrolled in Medicare?

Yes. Diane Merrill 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 Diane Merrill accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee, Blue Cross and Blue Shield of NC and Oscar Health Plan of North Carolina, Inc and 1 other insurer list Diane Merrill 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 Diane Merrill affiliated with any hospitals?

According to CMS data, Diane Merrill is affiliated with Carolinas Medical Center-Northeast and Carolinas Medical Center/Behav Health.

When was this NPI record last updated?

The NPPES record for Diane Merrill was last updated on July 15, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.