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KATIDIANE MERRILL
NPI 1568328979
Nurse Practitioner - Primary Care in Gilbert, AZ

Active since December 30, 2025PECOS Enrolled
2946 E BANNER GATEWAY DR, GILBERT, AZ 85234(480) 256-6444(480) 256-3682 Get Directions Write a Review

NPPES record last updated: May 27, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 27, 2026, Dec 30, 2025 (2 updates tracked since 2025).

About Katidiane Merrill NPPES

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

KATIDIANE MERRILL (NPI 1568328979) is an individual primary care provider in Gilbert, Arizona, licensed in Arizona (326140) and active in the NPI registry since December 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1568328979
Entity TypeIndividualFemale
Primary Taxonomy363LP2300X
Provider Legal NameKATIDIANE MERRILL
Location Address2946 E BANNER GATEWAY DRGilbert, AZ 85234
Mailing Address2946 E Banner Gateway DrGilbert, AZ 85234 · (480) 256-6444 · Fax (480) 256-3682
Phone(480) 256-6444
Fax(480) 256-3682
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateDecember 30, 2025
Last NPPES UpdateMay 27, 20262 updates tracked since enumeration
NPPES CertifiedMay 27, 2026
✔ NPI 1568328979 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP2300X
License✔ Licensed in AZ · 326140
2946 E BANNER GATEWAY DR, Gilbert, AZ 85234
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)

Katidiane Merrill is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5193209856
PECOS Enrollment IDI20260319003988
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85234 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
$85.89 typical visit price
range $55.44 – $168.60
Typical copayment $21.47 (range $13.86 – $42.15)
Most-billed visit code 99203
Established Patient
$98.00 typical visit price
range $17.72 – $137.41
Typical copayment $24.50 (range $4.43 – $34.35)
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.

SOYOUNG PARK MD
Internal Medicine (Hematology & Oncology)
2946 E BANNER GATEWAY DR
GILBERT, AZ 85234
Maricopa County (480) 256-6444
DR. AKSHAAR BRAHMBHATT MD
Radiology (Vascular & Interventional Radiology)
2946 E BANNER GATEWAY DR
GILBERT, AZ 85234
Maricopa County (480) 256-6444
THERESA ONG LIU DUMLAO MD
Internal Medicine (Hematology & Oncology)
2946 E BANNER GATEWAY DR, SUITE 450
GILBERT, AZ 85234
Maricopa County (480) 256-6444
DR. ZACHARY PHILLIP YEUNG MD
Internal Medicine (Medical Oncology)
2946 E BANNER GATEWAY DR
GILBERT, AZ 85234
Maricopa County (480) 245-6444
MICHAEL J POGGE AGACNP-BC
Nurse Practitioner (Acute Care)
2946 E BANNER GATEWAY DR
GILBERT, AZ 85234
Maricopa County (480) 256-6444
RICHARD D SUE MD
Internal Medicine (Pulmonary Disease)
2946 E BANNER GATEWAY DR
GILBERT, AZ 85234
Maricopa County (480) 256-6444
MRS. ALEXANDRIA NICOLE BARNES PA-C
Physician Assistant (Medical)
2946 E BANNER GATEWAY DR
GILBERT, AZ 85234
Maricopa County (480) 256-6444
ASHLEY JOHNSON KELLER PA-C
Physician Assistant
2946 E BANNER GATEWAY DR
GILBERT, AZ 85234
Maricopa County (480) 256-6444

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 Katidiane Merrill's NPI number?

The NPI number for Katidiane Merrill is 1568328979. It was assigned to this individual provider in the NPPES registry on December 30, 2025.

Where is Katidiane Merrill located?

Katidiane Merrill practices at 2946 E Banner Gateway Dr, Gilbert, AZ 85234. The listed phone number is (480) 256-6444.

What is Katidiane Merrill's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

Is Katidiane Merrill enrolled in Medicare?

Yes. Katidiane Merrill is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Katidiane Merrill was last updated on May 27, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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.