1. Home
  2. Directory
  3. Idaho
  4. Eagle
  5. Psychiatry Neurology
  6. NPI Profile

JORDAN W MERRILL MD
NPI 1902197007
Psychiatry & Neurology - Psychiatry in Eagle, ID

Active since April 22, 2011PECOS Enrolled
1032 S. BRIDGEWAY PL., STE 110, EAGLE, ID 83616(208) 475-0800(208) 639-0901 Get Directions Write a Review

NPPES record last updated: November 22, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Nov 22, 2021, May 16, 2016 (2 updates tracked since 2016).

About Jordan W Merrill Md NPPES

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

JORDAN W MERRILL MD (NPI 1902197007) is an individual psychiatry provider in Eagle, Idaho, licensed in Idaho (M-13001) and active in the NPI registry since April 2011. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1902197007
Entity TypeIndividualMale
Primary Taxonomy2084P0800X
Provider Legal NameJORDAN W MERRILLCredential: MD
Location Address1032 S. BRIDGEWAY PL., STE 110Eagle, ID 83616
Mailing Address1032 S. Bridgeway Pl., Ste 110Eagle, ID 83616 · (208) 475-0800 · Fax (208) 639-0901
Phone(208) 475-0800
Fax(208) 639-0901
Sole ProprietorNo
Enumeration DateApril 22, 2011
Last NPPES UpdateNovember 22, 20212 updates tracked since enumeration
NPPES CertifiedNovember 22, 2021
✔ NPI 1902197007 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
License✔ Licensed in ID · M-13001
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
1032 S. BRIDGEWAY PL., Eagle, ID 83616
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jordan W Merrill Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignments

2

Medicare enrollment records show Jordan Merrill reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

University Of Utah Behavioral Health Services
295 mi
Psychiatry
291 S 200 W
Farmington, UT 84025
  • Reassigned Medicare billing, Utah enrollment
  • 295 clinicians in this Medicare group
NPI 1508216169 (801) 587-6336
University Of Utah Acuity Care Services
306 mi
Critical Care Medicine
50 N MEDICAL DR
Salt Lake City, UT 84132
  • Reassigned Medicare billing, Utah enrollment
  • 338 clinicians in this Medicare group
NPI 1407250541 (801) 581-2121

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 83616 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
$160.17 typical visit price
range $52.44 – $160.17
Typical copayment $40.04 (range $13.11 – $40.04)
Most-billed visit code 99205
Established Patient
$65.77 typical visit price
range $16.68 – $130.93
Typical copayment $16.44 (range $4.17 – $32.73)
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.

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 Jordan Merrill's NPI number?

The NPI number for Jordan Merrill is 1902197007. It was assigned to this individual provider in the NPPES registry on April 22, 2011.

Where is Jordan Merrill located?

Jordan Merrill practices at 1032 S. Bridgeway Pl. Ste 110, Eagle, ID 83616. The listed phone number is (208) 475-0800.

What is Jordan Merrill's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Jordan Merrill enrolled in Medicare?

Yes. Jordan Merrill is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Jordan Merrill's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jordan Merrill reassigns Medicare benefits to 2 organizations: University Of Utah Behavioral Health Services (Farmington, UT) and University Of Utah Acuity Care Services (Salt Lake City, UT). 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 Jordan Merrill's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jordan Merrill accept?

Health plans from Providence Health Plan list Jordan 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 Jordan Merrill was last updated on November 22, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.