Individual provider Active NPI

Heather Merrill, FNP

  • Family Nurse Practitioner
  • St George, UT
National Provider Identifier
1033752647
Registry record updated Jul 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
10331560-4405 Issued in UT
Practice address
25 N 100 E Ste 102
St George, UT 84770-7369
Phone
(435) 986-2565
NPI assigned
Oct 26, 2019
Last updated
Jul 27, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 10331560-4405 UT Primary
Registered Nurse 163W00000X 10331560-3102 UT

Addresses

Primary practice location

25 N 100 E Ste 102
St George, UT 84770-7369

Mailing address

25 N 100 E Ste 102
St George, UT 84770-7369
Phone (435) 986-2565

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211025002941 UT Practitioner - Nurse Practitioner 6002204047 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

2276 E Riverside Dr
St George, UT 84790-2636
Phone (435) 986-2565

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Southwest Utah Community Health Center CurrentSince Sep 6, 2021 Accepting new patients
Southwest Utah Community Health Center, Inc CurrentSince Sep 6, 2021 Accepting new patients
Southwest Utah Community Health Center Family Medicine Current Accepting new patients
Southwest Utah Community Health Center Past Accepting new patients

Locations

168 N 100 E
Ste 101
St George, UT 84770
Phone (435) 986-2565

2276 E Riverside Dr
St George, UT 84790
Phone (435) 986-2565

25 N 100 E
Ste 102
St George, UT 84770
Phone (435) 359-2165

Interoperability endpoints

  • Direct secure messaging: heather.merrill@swuchc.eclinicaldirectplus.com

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1572048000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627344000000",
    "number": "1033752647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 N 100 E STE 102",
            "city": "ST GEORGE",
            "state": "UT",
            "postal_code": "847707369",
            "telephone_number": "435-986-2565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 N 100 E STE 102",
            "city": "ST GEORGE",
            "state": "UT",
            "postal_code": "847707369",
            "telephone_number": "435-986-2565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MERRILL",
        "first_name": "HEATHER",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-26",
        "last_updated": "2021-07-27",
        "certification_date": "2021-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "UT",
            "license": "10331560-4405",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "UT",
            "license": "10331560-3102",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St George, UT

Sources for this page

Verify at the official NPI Registry.