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

NPI Status: Active since March 14, 2006

Contact Information

640 JACKSON ST
MAIL STOP 11503P
ST PAUL, MN
ZIP 55101
Phone: (651) 254-3456
Fax: (651) 254-3048

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  • Individual
  • Female
  • Years of Experience 20
  • Nurse Anesthetist, Certified Registered
  • Accepts Insurance
  • Accepts Medicare Approved Payment

About AMY MERRITT

This page provides the complete NPI Profile along with additional information for Amy Merritt, a provider established in St Paul, Minnesota with a medical specialization in Nurse Anesthetist, Certified Registered and more than 20 years of experience. The healthcare provider is registered in the NPI registry with number 1871562868 assigned on March 2006. The practitioner's primary taxonomy code is 367500000X with license number 1492662 (MN). The provider is registered as an individual and her NPI record was last updated 10 years ago.

NPI
1871562868
Provider Name
AMY G MERRITT CRNA
Gender
Female
Entity Type
Individual
Location Address
640 JACKSON ST MAIL STOP 11503P ST PAUL, MN 55101
Location Phone
(651) 254-3456
Location Fax
(651) 254-3048
Mailing Address
8100 34TH AVE S 21110Q BLOOMINGTON, MN 55425
Mailing Phone
(952) 883-7961
Mailing Fax
(651) 254-3048
Medical School Name
OTHER
Graduation Year
2006
Is Sole Proprietor?
No
Enumeration Date
03-14-2006
Last Update Date
04-13-2015
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Nurse Anesthetist, Certified Registered

Taxonomy Code
367500000X
Type
Physician Assistants & Advanced Practice Nursing Providers
License No.
1492662
License State
MN
Taxonomy Description
(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.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • CGHC Bronze $0 Ded / $2250 Rx Ded - Envision Network - EPO
  • CGHC Bronze $0 Ded / $2250 Rx Ded - Envision Network (Vision Exam) - EPO
  • CGHC Bronze $9200 ($40 PCP Copay) - Envision Network - EPO
  • CGHC Bronze $9200 ($40 PCP Copay) - Envision Network (Vision Exam) - EPO
  • CGHC Bronze Standard $7500 - Envision Network - EPO
  • CGHC Bronze Standard $7500 - Envision Network (Vision Exam) - EPO
  • CGHC Catastrophic $9200 - Envision Network - EPO
  • CGHC Gold $0 Ded - Envision Network - EPO
  • CGHC Gold $0 Ded - Envision Network (Vision Exam) - EPO
  • CGHC Gold $3000 - Envision Network - EPO
  • CGHC Gold $3000 - Envision Network (Vision Exam) - EPO
  • CGHC Gold Standard $1500 - Envision Network - EPO
  • CGHC Gold Standard $1500 - Envision Network (Vision Exam) - EPO
  • CGHC Silver $4200 Ded / $5000 Rx Ded - Envision Network - EPO
  • CGHC Silver $4200 Ded / $5000 Rx Ded - Envision Network (Vision Exam) - EPO
  • CGHC Silver $4700 Ded / $6000 Rx Ded - Envision Network - EPO
  • CGHC Silver $4700 Ded / $6000 Rx Ded - Envision Network (Vision Exam) - EPO
  • CGHC Silver Standard $5000 - Envision Network - EPO
  • CGHC Silver Standard $5000 - Envision Network (Vision Exam) - EPO

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
430005438MEDICARE ID-TYPE UNSPECIFIED (04)MN 

Medicare Participation & PECOS Enrollment Status

Amy Merritt is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • PECOS PAC ID: 3870508302

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20150827002017

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • Accepts Medicare Assignment? Yes

    What does it mean "accepts medicare assignment"?
    When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
    A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

Physician Visit Costs



The typical physician office visit costs for Medicare beneficiaries in this area are: $31.9 for a new patient copayment and $17.43 for an established patient copayment.

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 55101 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99204

  • Average New Patient Price $127.61
  • Minimum New Patient Price $56
  • Maximum New Patient Price $168.28
  • Average New Patient Copayment $31.9
  • Minimum New Patient Copayment $14
  • Maximum New Patient Copayment $42.07

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99213

  • Average Established Patient Price $69.74
  • Minimum Established Patient Price $18.32
  • Maximum Established Patient Price $138.04
  • Average Established Patient Copayment $17.43
  • Minimum Established Patient Copayment $4.58
  • Maximum Established Patient Copayment $34.51

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

Find Provider Hospital Affiliations - Privileges

Doctors and physicians must apply for hospital privileges to treat patients at hospitals. Find out if your doctor has privileges to practice at your preferred hospital by using the hospital affiliation information below based on recent medical claims.

Hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the medical claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Amy Merritt is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type Overall Rating
THEDACARE REGIONAL MEDICAL CENTER - APPLETON INC1818 N MEADE ST
APPLETON, WI 54911
(920) 731-4101Acute Care Hospitals

Reviews for AMY G MERRITT CRNA

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1871562868
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
281411064812
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 8 + 1 + 4 + 1 + 1 + 0 + 6 + 4 + 8 + 1 + 2 + 24 = 62
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 62 = 88

The NPI number 1871562868 is valid because the calculated check digit 8 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

MS. RUTH ELLEN LINDEMAN PA-C

Physician Assistant

640 JACKSON ST
SAINT PAUL, MN
ZIP 55101

(651) 254-2779

DR. GREG A BROWN M.D., PH.D.

Orthopaedic Surgery

640 JACKSON ST
SAINT PAUL, MN
ZIP 55101

(651) 254-1514

CARL A PATOW MD

Otolaryngology

640 JACKSON ST
MC 11503J
ST PAUL, MN
ZIP 55101

(651) 254-6701

DANIEL M GOLDBLATT MD

Family Medicine

640 JACKSON ST
SAINT PAUL, MN
ZIP 55101

(123) 123-1234

ZHONG ZHAO MD

Internal Medicine

640 JACKSON ST
MC21110Q
SAINT PAUL, MN
ZIP 55101

(651) 254-9594

AMY P BARGER MD

Internal Medicine

640 JACKSON ST
ST PAUL, MN
ZIP 55101

(952) 883-6181

RICHARD J HILGER MD

Internal Medicine

640 JACKSON ST
MC21110Q
SAINT PAUL, MN
ZIP 55101

(651) 254-9594

JAMES M RISSER MD

Internal Medicine

640 JACKSON ST
MC21110Q
SAINT PAUL, MN
ZIP 55101

(651) 254-9594

THOMAS J YACOVELLA MD

Internal Medicine

640 JACKSON ST
SAINT PAUL, MN
ZIP 55101

(123) 123-1234

BHAVIN I PATEL MD

Internal Medicine

640 JACKSON ST
SAINT PAUL, MN
ZIP 55101

(123) 123-1234

WILLIAM J FOX MA

Audiologist

640 JACKSON ST
MAIL STOP 11101N
SAINT PAUL, MN
ZIP 55101

(651) 254-3263

KAREN A MOELLER MD

Internal Medicine

640 JACKSON ST
SAINT PAUL, MN
ZIP 55101

(123) 123-1234

KRISTEN L SWAN MA LP

Psychologist

(Clinical)

640 JACKSON ST
MAIL STOP 11303A
SAINT PAUL, MN
ZIP 55101

(651) 254-4786

SHAUN D FROST MD

Internal Medicine

640 JACKSON ST
SAINT PAUL, MN
ZIP 55101

(952) 883-7172

JAMES MARK NEWTON PA

Physician Assistant

640 JACKSON ST
MC 11102H
ST PAUL, MN
ZIP 55101

(651) 254-3462

JOHN W MCBRIDE MD

Internal Medicine

(Cardiovascular Disease)

640 JACKSON ST
MC 11102H
SAINT PAUL, MN
ZIP 55101

(651) 254-3482

ELIZABETH A REEVE MD

Psychiatry & Neurology

(Psychiatry)

640 JACKSON ST
MAIL STOP 11302C HEALTHPARTNERS REGIONS BEHAVIORAL HEAL
ST. PAUL, MN
ZIP 55101

(651) 254-4786

DEAN E MANN MD

Surgery

(Plastic and Reconstructive Surgery)

640 JACKSON ST
MC 11503B
SAINT PAUL, MN
ZIP 55101

(651) 254-3792

LAVONNE L MICHAUD MD

Psychiatry & Neurology

(Psychiatry)

640 JACKSON ST
MAIL STOP 11303A
SAINT PAUL, MN
ZIP 55101

(651) 254-4786

BURKE T KEALEY MD

Internal Medicine

640 JACKSON ST
SAINT PAUL, MN
ZIP 55101

(123) 123-1234

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: Common Ground Healthcare Cooperative, Medicare and. Please consult your insurance carrier or call the provider to verify.

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