BROOKE GIBBONS MERRILL PMHNP-BC
NPI 1619673308
Nurse Practitioner - Psychiatric/Mental Health in Orem, UT

Active since February 03, 2023PECOS EnrolledAccepts Medicare Assignment
361 E 1200 S STE 201, OREM, UT 84058(801) 224-3014 Get Directions Write a Review

NPPES record last updated: February 16, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Feb 16, 2023, Feb 3, 2023 (2 updates tracked since 2023).

About Brooke Gibbons Merrill Pmhnp-bc NPPES

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

BROOKE GIBBONS MERRILL PMHNP-BC (NPI 1619673308) is an individual psychiatric/mental health provider in Orem, Utah, licensed in Utah (8612659-4405) and active in the NPI registry since February 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1619673308
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameBROOKE GIBBONS MERRILLCredential: PMHNP-BC
Location Address361 E 1200 S STE 201Orem, UT 84058-6904
Mailing Address1965 N 3050 WProvo, UT 84601-6001 · (803) 522-2054
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateFebruary 3, 2023
Last NPPES UpdateFebruary 16, 20232 updates tracked since enumeration
NPPES CertifiedFebruary 16, 2023
NPI 1619673308 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License Licensed in UT · 8612659-4405
361 E 1200 S STE 201, Orem, UT 84058

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

Brooke Gibbons Merrill Pmhnp-bc 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 ID7012380207
PECOS Enrollment IDI20230309001309
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 84058 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
$84.41 typical visit price
range $54.34 – $166.03
Typical copayment $21.10 (range $13.58 – $41.50)
Most-billed visit code 99203
Established Patient
$96.35 typical visit price
range $17.23 – $135.20
Typical copayment $24.08 (range $4.30 – $33.80)
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 6

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

Home Health
361 E 1200 S STE 201
OREM, UT 84058
Nurse Practitioner (Psychiatric/Mental Health)
361 E 1200 S STE 201
OREM, UT 84058
Nurse Practitioner (Psychiatric/Mental Health)
361 E 1200 S STE 201
OREM, UT 84058
Nurse Practitioner (Psychiatric/Mental Health)
361 E 1200 S STE 201
OREM, UT 84058
Nurse Practitioner (Psychiatric/Mental Health)
361 E 1200 S STE 201
OREM, UT 84058
Nurse Practitioner (Psychiatric/Mental Health)
361 E 1200 S STE 201
OREM, UT 84058

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1619673308, enumerated as an "individual" on February 03, 2023.

The provider is located at 361 E 1200 S STE 201 OREM, UT 84058 and the phone number is (801) 224-3014.

Nurse Practitioner with taxonomy code 363LP0808X and a focus in Psychiatric/Mental Health.

The provider might be accepting Accepts: BridgeSpan Health Company, Regence BlueCross. Please consult your insurance carrier or call the provider to verify.