MR. JOHN THOMAS MERRILL JR. FNP-C
NPI 1679390611
Nurse Practitioner - Family in Newport, KY
About Mr. John Thomas Merrill Jr. Fnp-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. JOHN THOMAS MERRILL JR. FNP-C (NPI 1679390611) is an individual family provider in Newport, Kentucky, licensed in Ohio (0037502) and active in the NPI registry since September 2024. He is enrolled in Medicare PECOS and is a graduate of Other (2021).
NPPES Registry Identity
Specialties & Licenses
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
Mr. John Thomas Merrill Jr. 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.
Medicare Billing Reassignments
2Medicare enrollment records show John Merrill reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Cincinnati, OH 45230
- Reassigned Medicare billing, Ohio enrollment
- 329 clinicians in this Medicare group
Columbus, OH 43215
- Reassigned Medicare billing, Ohio 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 41071 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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 John Merrill's NPI number?
The NPI number for John Merrill is 1679390611. It was assigned to this individual provider in the NPPES registry on September 23, 2024.
Where is John Merrill located?
John Merrill practices at 7 E Ridge Pl, Newport, KY 41071. The listed phone number is (859) 801-7426.
What is John Merrill's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is John Merrill enrolled in Medicare?
Yes. John 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 organizations bill Medicare for John Merrill's services?
According to the CMS Revalidation Reassignment List (October 2026 release), John Merrill reassigns Medicare benefits to 2 organizations: Cg Medical Associates Inc (Cincinnati, OH) and Telemedico Physicians Cardiology Ohio Inc (Columbus, OH). 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 John Merrill's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does John Merrill accept?
Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, CareSource and Molina Healthcare and 1 other insurer list John 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 John Merrill was last updated on September 23, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Mr. John Thomas Merrill Jr., FNP-C · NPI 1679390611
Family physician in Newport, Kentucky. Individual provider, active in the CMS NPPES registry since September 23, 2024.
## Identity
- **NPI:** 1679390611 (Entity type: Individual)
- **Enumerated:** September 23, 2024
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 0037502 (Ohio)
- **Sole proprietor:** No
## Practice location
- **Address:** 7 E RIDGE PL, Newport, KY 41071-2632
- **Phone:** (859) 801-7426
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Cg Medical Associates Inc (NPI 1982903951, Cincinnati, OH); Telemedico Physicians Cardiology Ohio Inc (NPI 1174304950, Columbus, OH) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2021
## Record status
- **NPPES last updated:** September 23, 2024
---
Source: [NPI Profile](https://npiprofile.com/npi/1679390611) · Data from the CMS NPPES public registry.