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MARK EDWARD MERKEL MSN, APRN, FNP-C
NPI 1528696762
Nurse Practitioner - Family in Columbia, TN

Active since April 01, 2020PECOS EnrolledAccepts Medicare Assignment
1040 N JAMES M CAMPBELL BLVD STE 108, COLUMBIA, TN 38401(615) 661-7888(615) 661-9001 Get Directions Write a Review

NPPES record last updated: August 23, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 23, 2021, Jun 24, 2020, Apr 1, 2020 (3 updates tracked since 2020).

About Mark Edward Merkel Msn, Aprn, Fnp-c NPPES

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

MARK EDWARD MERKEL MSN, APRN, FNP-C (NPI 1528696762) is an individual family provider in Columbia, Tennessee, licensed in Tennessee (27444) and active in the NPI registry since April 2020. He is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1528696762
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameMARK EDWARD MERKELCredential: MSN, APRN, FNP-C
Location Address1040 N JAMES M CAMPBELL BLVD STE 108Columbia, TN 38401-2758
Mailing AddressPo Box 681508Franklin, TN 37068-1508 · (615) 661-7888 · Fax (615) 661-9001
Phone(615) 661-7888
Fax(615) 661-9001
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateApril 1, 2020
Last NPPES UpdateAugust 23, 20213 updates tracked since enumeration
NPPES CertifiedAugust 23, 2021
✔ NPI 1528696762 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in TN · 27444
1040 N JAMES M CAMPBELL BLVD STE 108, Columbia, TN 38401
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

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

Mark Edward Merkel Msn, Aprn, Fnp-c 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 ID1456772276
PECOS Enrollment IDI20240919001618, I20240926000665, I20241108001825
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 Reassignments

3

Medicare enrollment records show Mark Merkel reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Pai Oh LLC
279 mi
Addiction Medicine
119 E COURT ST
Cincinnati, OH 45202
  • Reassigned Medicare billing, Ohio enrollment
  • 12 clinicians in this Medicare group
NPI 1043039142 (860) 322-6712
Pai Medical Wv PLLC
566 mi
Psychiatry
3058C CHARLES TOWN RD
Kearneysville, WV 25430
  • Reassigned Medicare billing, West Virginia enrollment
  • 25 clinicians in this Medicare group
NPI 1972323061 (860) 322-6712
Pursuecare, LLC
879 mi
Addiction Medicine
101 CENTERPOINT DR STE 105
Middletown, CT 06457
  • Reassigned Medicare billing, Kentucky, Ohio and West Virginia enrollments
  • 22 clinicians in this Medicare group
NPI 1962068296 (860) 322-6712

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 38401 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
$81.53 typical visit price
range $52.64 – $160.89
Typical copayment $20.38 (range $13.16 – $40.22)
Most-billed visit code 99203
Established Patient
$93.60 typical visit price
range $16.72 – $131.41
Typical copayment $23.40 (range $4.18 – $32.85)
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 2

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

MACKENZIE YOUNG MA, BCBA. LBA
Behavior Analyst
1040 N JAMES M CAMPBELL BLVD STE 108
COLUMBIA, TN 38401
Maury County (931) 901-5227
MR. JOHN G GARRETT APRN
Nurse Practitioner (Acute Care)
1040 N JAMES M CAMPBELL BLVD STE 108
COLUMBIA, TN 38401
Maury County (931) 548-8657

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 Mark Merkel's NPI number?

The NPI number for Mark Merkel is 1528696762. It was assigned to this individual provider in the NPPES registry on April 1, 2020.

Where is Mark Merkel located?

Mark Merkel practices at 1040 N James M Campbell Blvd Ste 108, Columbia, TN 38401. The listed phone number is (615) 661-7888.

What is Mark Merkel's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Mark Merkel enrolled in Medicare?

Yes. Mark Merkel 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 organizations bill Medicare for Mark Merkel's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mark Merkel reassigns Medicare benefits to 3 organizations: Pai Oh LLC (Cincinnati, OH), Pai Medical Wv PLLC (Kearneysville, WV) and Pursuecare, LLC (Middletown, CT). Each 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 Mark Merkel's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Mark Merkel accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource and 2 other insurers list Mark Merkel 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.

When was this NPI record last updated?

The NPPES record for Mark Merkel was last updated on August 23, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.