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MRS. HEIDY NICOLE MERIUS N.P.
NPI 1881074615
Nurse Practitioner - Adult Health in Smithtown, NY

Active since June 06, 2015PECOS EnrolledAccepts Medicare Assignment
98.52/100
CMS Quality Rating
240 MIDDLE COUNTRY RD, SUITE A, SMITHTOWN, NY 11787(631) 444-2500 Get Directions Write a Review

NPPES record last updated: September 30, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Sep 30, 2019, May 9, 2019 (2 updates tracked since 2019).

About Mrs. Heidy Nicole Merius N.p. NPPES

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

MRS. HEIDY NICOLE MERIUS N.P. (NPI 1881074615) is an individual adult health provider in Smithtown, New York, licensed in New York (308871) and active in the NPI registry since June 2015. She is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1881074615
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameMRS. HEIDY NICOLE MERIUSCredential: N.P.
Location Address240 MIDDLE COUNTRY RD, SUITE ASmithtown, NY 11787
Mailing AddressPo Box 1559Stony Brook, NY 11790-0989
Phone(631) 444-2500
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateJune 6, 2015
Last NPPES UpdateSeptember 30, 20192 updates tracked since enumeration
✔ NPI 1881074615 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License✔ Licensed in NY · 308871
Also ListedRegistered NurseTaxonomy 163W00000X · License 649705-1 (NY)
240 MIDDLE COUNTRY RD, Smithtown, NY 11787
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Other Names 1

Former Name (1)Ms. Heidy Nicole Thomas R.n.

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

Mrs. Heidy Nicole Merius N.p. 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 ID6800123886
PECOS Enrollment IDI20190814001026
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.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
215 services144 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
72 services59 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
39 services39 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11787 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
$105.06 typical visit price
range $67.40 – $203.53
Typical copayment $26.26 (range $16.85 – $50.88)
Most-billed visit code 99203
Established Patient
$117.62 typical visit price
range $21.66 – $164.45
Typical copayment $29.40 (range $5.41 – $41.11)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

98.52/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality82.85
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 12

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
9 suppliers158 claims158 services$32.79 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
5 suppliers53 claims53 services$74.78 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
4 suppliers53 claims154 services$28.11 avg. paid by Medicare
Cushion for use on nasal mask interface, replacement only, each A7032
DME-Other DME · category DE001N
6 suppliers62 claims370 services$15.12 avg. paid by Medicare
Pillow for use on nasal cannula type interface, replacement only, pair A7033
DME-Other DME · category DE001N
5 suppliers35 claims209 services$12.50 avg. paid by Medicare
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
9 suppliers112 claims112 services$44.16 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES

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

DR. AVRAM GOLD M.D.
Internal Medicine (Pulmonary Disease)
240 MIDDLE COUNTRY RD
SMITHTOWN, NY 11787
Suffolk County (631) 444-2500

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 Heidy Merius's NPI number?

The NPI number for Heidy Merius is 1881074615. It was assigned to this individual provider in the NPPES registry on June 6, 2015. The provider is also known as Ms. Heidy Nicole Thomas R.N..

Where is Heidy Merius located?

Heidy Merius practices at 240 Middle Country Rd Suite A, Smithtown, NY 11787. The listed phone number is (631) 444-2500.

What is Heidy Merius's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is Heidy Merius enrolled in Medicare?

Yes. Heidy Merius 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.

When was this NPI record last updated?

The NPPES record for Heidy Merius was last updated on September 30, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.