Individual provider Active NPI

Merlin W Friesen IV, M.D.

  • Family Medicine Physician
  • Paoli, IN
National Provider Identifier
1063490001
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
01044639 Issued in IN
Practice address
202 Cherry St
Paoli, IN 47454-1108
Phone
(812) 723-3386
NPI assigned
Jan 9, 2006
Last updated
Jul 13, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 01044639 IN Primary

Addresses

Primary practice location

202 Cherry St
Paoli, IN 47454-1108

Mailing address

75 E County Road 250 S
Paoli, IN 47454-9341
Phone (812) 723-3386

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN, WI2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20190108003094 MN Practitioner - Family PracticePractitioner - Emergency Medicine 0345349049 Reassigns benefits to 3 organizations
I20190613002640 WI Practitioner - Family Practice 0345349049 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
County of Meeker CurrentSince Feb 1, 2019 Accepting new patients
Unity Family Healthcare Family Medicine CurrentSince Dec 12, 2018 Accepting new patients
Unity Family Healthcare Current Accepting new patients
Medical Services, Inc CurrentSince Mar 31, 2019 Accepting new patients
Spooner Health System, Inc. Current Accepting new patients
Unity Family Healthcare Current Accepting new patients
Medical Services, Inc CurrentSince Mar 31, 2019 Accepting new patients
Unity Family Healthcare CurrentSince Dec 12, 2018 Accepting new patients
Indiana University Health Paoli Inc Past Accepting new patients

Locations

7892 Solutions Ctr
Chicago, IL 60677

612 S Sibley Ave
Litchfield, MN 55355
Phone (320) 693-3242

815 2nd St SE
Little Falls, MN 56345
Phone (320) 632-5441

11040 N State Road 77
Hayward, WI 54843
Phone (715) 934-4245

1280 Chandler Dr
Spooner, WI 54801
Phone (715) 635-2111

Organizations & group practices 9

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.

NPI Registry JSON

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

{
    "created_epoch": "1136764800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1063490001",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75 E COUNTY ROAD 250 S",
            "city": "PAOLI",
            "state": "IN",
            "postal_code": "474549341",
            "telephone_number": "812-723-3386"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "202 CHERRY ST",
            "city": "PAOLI",
            "state": "IN",
            "postal_code": "474541108",
            "telephone_number": "812-723-3386"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRIESEN",
        "first_name": "MERLIN",
        "middle_name": "W",
        "name_suffix": "IV",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-09",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IN",
            "license": "01044639",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Paoli, IN

Sources for this page

Verify at the official NPI Registry.