AMY G MERRITT CRNA
NPI 1871562868
Nurse Anesthetist, Certified Registered in St Paul, MN

Active since March 14, 2006Accepts Medicare Assignment
640 JACKSON ST, MAIL STOP 11503P, ST PAUL, MN 55101(651) 254-3456(651) 254-3048 Get Directions Write a Review

NPPES record last updated: April 13, 2015. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Amy G Merritt Crna NPPES

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

AMY G MERRITT CRNA (NPI 1871562868) is an individual nurse anesthetist, certified registered in St Paul, Minnesota, licensed in Minnesota (1492662) and active in the NPI registry since March 2006. She is affiliated with Thedacare Regional Medical Center - Appleton Inc and is a graduate of Other (2006).

NPPES Registry Identity

NPI1871562868
Entity TypeIndividualFemale
Primary Taxonomy367500000X
Provider Legal NameAMY G MERRITTCredential: CRNA
Location Address640 JACKSON ST, MAIL STOP 11503PSt Paul, MN 55101-2502
Mailing Address8100 34th Ave S, 21110qBloomington, MN 55425-1672 · (952) 883-7961 · Fax (952) 883-5395
Fax(651) 254-3048
Sole ProprietorNo
Medical School CMSOtherGraduated 2006
Enumeration DateMarch 14, 2006
Last NPPES UpdateApril 13, 2015
NPI 1871562868 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367500000X
License Licensed in MN · 1492662
Definition

(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.

640 JACKSON ST, St Paul, MN 55101

Other Identifiers 1

Medicare ID-Type Unspecified430005438MN

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

Amy G Merritt Crna 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 ID3870508302
PECOS Enrollment IDI20150827002017

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Thedacare Regional Medical Center - Appleton Inc

Acute Care Hospitals · Appleton, WI
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520160
Location1818 N Meade StAppleton, WI 54911 · Outagamie County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55101 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
$127.61 typical visit price
range $56.00 – $168.28
Typical copayment $31.90 (range $14.00 – $42.07)
Most-billed visit code 99204
Established Patient
$69.74 typical visit price
range $18.32 – $138.04
Typical copayment $17.43 (range $4.58 – $34.51)
Most-billed visit code 99213
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.

Physician Assistant
640 JACKSON ST
SAINT PAUL, MN 55101
Orthopaedic Surgery
640 JACKSON ST
SAINT PAUL, MN 55101
Otolaryngology
640 JACKSON ST, MC 11503J
ST PAUL, MN 55101
Family Medicine
640 JACKSON ST
SAINT PAUL, MN 55101
Internal Medicine
640 JACKSON ST, MC21110Q
SAINT PAUL, MN 55101
Internal Medicine
640 JACKSON ST
ST PAUL, MN 55101
Internal Medicine
640 JACKSON ST, MC21110Q
SAINT PAUL, MN 55101
Internal Medicine
640 JACKSON ST, MC21110Q
SAINT PAUL, MN 55101

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1871562868, enumerated as an "individual" on March 14, 2006.

The provider is located at 640 JACKSON ST MAIL STOP 11503P ST PAUL, MN 55101 and the phone number is (651) 254-3456.

Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

The provider might be accepting Accepts: CareSource (Common Ground Healthcare), Medicare. Please consult your insurance carrier or call the provider to verify.

Amy Merritt is affiliated with: THEDACARE REGIONAL MEDICAL CENTER - APPLETON INC.