MIRAMANNEE L. MERRYMAN PA
NPI 1669584736
Physician Assistant - Surgical in Santa Monica, CA

Active since August 31, 2006PECOS EnrolledAccepts Medicare Assignment
2001 SANTA MONICA BLVD STE 680W, SANTA MONICA, CA 90404(310) 829-8928(310) 315-6157 Get Directions Write a Review

NPPES record last updated: December 10, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Dec 10, 2021, Aug 13, 2020 (2 updates tracked since 2020).

About Miramannee L. Merryman Pa NPPES

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

MIRAMANNEE L. MERRYMAN PA (NPI 1669584736) is an individual surgical provider in Santa Monica, California, licensed in California (17368) and active in the NPI registry since August 2006. She is enrolled in Medicare PECOS, maintains a secondary practice location in Santa Monica, and is a graduate of Other (1999).

NPPES Registry Identity

NPI1669584736
Entity TypeIndividualFemale
Primary Taxonomy363AS0400X
Provider Legal NameMIRAMANNEE L. MERRYMANCredential: PA
Location Address2001 SANTA MONICA BLVD STE 680WSanta Monica, CA 90404-2111
Mailing AddressPo Box 1138Culver City, CA 90232-1138 · (310) 582-7084
Fax(310) 315-6157
Sole ProprietorNo
Medical School CMSOtherGraduated 1999
Enumeration DateAugust 31, 2006
Last NPPES UpdateDecember 10, 20212 updates tracked since enumeration
NPPES CertifiedDecember 8, 2021
NPI 1669584736 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License Licensed in CA · 17368
Also ListedPhysician Assistant · MedicalTaxonomy 363AM0700X · License PA17368 (CA)
2001 SANTA MONICA BLVD STE 680W, Santa Monica, CA 90404

Other Names 1

Former Name (1)Miramannee M. Lenzini Pa

Secondary Practice Location 1

Location 12121 Santa Monica Blvd, SJEMS/Emergency RoomSanta Monica, CA 90404-2303 · Phone (310) 582-7084

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

Miramannee L. Merryman Pa 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 ID1153307699
PECOS Enrollment IDI20040625000833
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.

Other Providers at the Same Location NPPES 4

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

Obstetrics & Gynecology (Urogynecology and Reconstructive Pelvic Surgery)
2001 SANTA MONICA BLVD STE 680W
SANTA MONICA, CA 90404
Surgery
2001 SANTA MONICA BLVD STE 680W
SANTA MONICA, CA 90404
Physician Assistant
2001 SANTA MONICA BLVD STE 680W
SANTA MONICA, CA 90404
Physician Assistant
2001 SANTA MONICA BLVD STE 680W
SANTA MONICA, CA 90404

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 Miramannee Merryman's NPI number?

The NPI number for Miramannee Merryman is 1669584736. It was assigned to this individual provider in the NPPES registry on August 31, 2006. The provider is also known as Miramannee M. Lenzini PA.

Where is Miramannee Merryman located?

Miramannee Merryman practices at 2001 Santa Monica Blvd Ste 680W, Santa Monica, CA 90404. The listed phone number is (310) 829-8928.

What is Miramannee Merryman's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is Miramannee Merryman enrolled in Medicare?

Yes. Miramannee Merryman 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 Miramannee Merryman accept?

Health plans from Blue Cross and Blue Shield of Texas list Miramannee Merryman 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 Miramannee Merryman was last updated on December 10, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.