DAWN MERBACH FNP-C
NPI 1942894563
Nurse Practitioner in Baltimore, MD

Active since February 24, 2021PECOS Enrolled
74.39/100
CMS Quality Rating
4940 EASTERN AVE, BALTIMORE, MD 21224(410) 550-8065 Get Directions Write a Review

NPPES record last updated: February 24, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dawn Merbach Fnp-c NPPES

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

DAWN MERBACH FNP-C (NPI 1942894563) is an individual nurse practitioner in Baltimore, Maryland, licensed in Maryland (R139405) and active in the NPI registry since February 2021. She is enrolled in Medicare PECOS, is affiliated with Johns Hopkins Bayview Medical Center, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1942894563
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameDAWN MERBACHCredential: FNP-C
Location Address4940 EASTERN AVEBaltimore, MD 21224-2735
Mailing Address1344 E Riverside AveEssex, MD 21221-6319 · (410) 913-7088
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateFebruary 24, 2021
NPPES CertifiedFebruary 24, 2021
NPI 1942894563 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License Licensed in MD · R139405
Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

4940 EASTERN AVE, Baltimore, MD 21224

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dawn Merbach Fnp-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID648687384
PECOS Enrollment IDI20210325001471
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 2

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, 30-39 minutes 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.
56 services37 patients
Established patient office or other outpatient visit, 40-54 minutes 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.
33 services32 patients

Hospital Affiliations CMS Care Compare

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

Johns Hopkins Bayview Medical Center

Acute Care Hospitals · Baltimore, MD
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number210029
Location4940 Eastern AvenueBaltimore, MD 21224 · Baltimore City County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 21224 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
$94.08 typical visit price
range $60.73 – $183.44
Typical copayment $23.52 (range $15.18 – $45.86)
Most-billed visit code 99203
Established Patient
$106.59 typical visit price
range $19.60 – $149.17
Typical copayment $26.64 (range $4.90 – $37.29)
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.

74.39/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality64.71
Promoting Interoperability97
Improvement Activities40
Cost52.43

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.

Urology
4940 EASTERN AVE
BALTIMORE, MD 21224
Physician Assistant
4940 EASTERN AVE
BALTIMORE, MD 21224
Internal Medicine (Nephrology)
4940 EASTERN AVE
BALTIMORE, MD 21224
Physician Assistant
4940 EASTERN AVE
BALTIMORE, MD 21224
Physician Assistant
4940 EASTERN AVE
BALTIMORE, MD 21224
Psychiatry & Neurology (Psychiatry)
4940 EASTERN AVE
BALTIMORE, MD 21224
Psychologist
4940 EASTERN AVE
BALTIMORE, MD 21224
Emergency Medicine
4940 EASTERN AVE
BALTIMORE, MD 21224

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 Dawn Merbach's NPI number?

The NPI number for Dawn Merbach is 1942894563. It was assigned to this individual provider in the NPPES registry on February 24, 2021.

Where is Dawn Merbach located?

Dawn Merbach practices at 4940 Eastern Ave, Baltimore, MD 21224. The listed phone number is (410) 550-8065.

What is Dawn Merbach's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Dawn Merbach enrolled in Medicare?

Yes. Dawn Merbach is registered in the Medicare PECOS enrollment system.

Is Dawn Merbach affiliated with any hospitals?

According to CMS data, Dawn Merbach is affiliated with Johns Hopkins Bayview Medical Center.

When was this NPI record last updated?

The NPPES record for Dawn Merbach was last updated on February 24, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.