Evan T Merrill, APRN, FNP-BC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

078534-23 Issued in NH

Practice address

11 Hospital Dr
Machias, ME 04654-3325

Phone

(207) 255-3356

NPI assigned

Aug 15, 2024

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in ME

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir-myrecord.cerner.com/r4/6b68bc92-a317-4686-a79a-fbb1b58a509e/

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

• Down East Community Hospital

  • Critical Access Hospital
  • Machias, ME
  • NPI 1528087004
  Medicare reassignment NPD
• Down East Community Hospital

  • General Acute Care Hospital
  • Machias, ME
  • NPI 1689670242
  Medicare reassignment NPD
• Down East Community Hospital

  • Medicare Defined Swing Bed Hospital Unit
  • Machias, ME
  • NPI 1336587542
  NPD
• Down East Community Hospital

  • Family Medicine Physician
  • Milbridge, ME
  • NPI 1851397475
  NPD (past)

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

{
    "created_epoch": "1723680000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723680000000",
    "number": "1053143305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 MARSTEN LN UNIT 114",
            "city": "ENFIELD",
            "state": "NH",
            "postal_code": "037484155",
            "telephone_number": "603-657-8102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 HOSPITAL DR",
            "city": "MACHIAS",
            "state": "ME",
            "postal_code": "046543325",
            "telephone_number": "207-255-3356"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MERRILL",
        "first_name": "EVAN",
        "middle_name": "T",
        "credential": "APRN, FNP-BC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-08-15",
        "last_updated": "2024-08-15",
        "certification_date": "2024-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NH",
            "license": "078534-23",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anita Jean McKinley
• Heather Mea
• Ryan Meader, MHRT-CSP
• Lori Mellerup, MHRT-CSP
• Kaitlin Merchant, OTA
• Patricia Ann Merritt, R.N. B.S.N
• Jill Mertinke, LCPC
• Sherrie Ann Metcalf, BHP
• Avanelle Mitchell
• Bernadette Mubang, REGISTERED NURSE

• Family Nurse Practitioner in Machias, ME
• Providers in Machias, ME by specialty
• Family Nurse Practitioner in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.