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: November 01, 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, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignment

Medicare enrollment records show Brooke Merrill reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Clinic/Center
361 E 1200 S, SUITE 201
Orem, UT 84058
  • Reassigned Medicare billing, Utah enrollment
  • 10 clinicians in this Medicare group

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 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 NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Brooke Merrill's NPI number?

The NPI number for Brooke Merrill is 1619673308. It was assigned to this individual provider in the NPPES registry on February 3, 2023.

Where is Brooke Merrill located?

Brooke Merrill practices at 361 E 1200 S Ste 201, Orem, UT 84058. The listed phone number is (801) 224-3014.

What is Brooke Merrill's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Brooke Merrill enrolled in Medicare?

Yes. Brooke 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.

Which organization bills Medicare for Brooke Merrill's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Brooke Merrill reassigns Medicare benefits to Alliance Behavioral Psychiatry, LLC (Orem, UT). 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 Brooke Merrill's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Brooke Merrill accept?

Health plans from BridgeSpan Health Company, Regence BlueCross BlueShield of Utah and University of Utah Health Plans list Brooke 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.

When was this NPI record last updated?

The NPPES record for Brooke Merrill was last updated on February 16, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.