Individual provider Active NPI

Monica Merricks, ARNP

  • Family Nurse Practitioner
  • Gainesville, FL
National Provider Identifier
1073775870
Registry record updated Apr 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
ARNP9310302 Issued in FL
Practice address
4410 W Newberry Rd Ste A3
Gainesville, FL 32607
Phone
(352) 374-2818
NPI assigned
Jul 2, 2008
Last updated
Apr 25, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X APRN9310302 FL
Family Nurse Practitioner 363LF0000X ARNP9310302 FL Primary

Addresses

Primary practice location

4410 W Newberry Rd Ste A3
Gainesville, FL 32607

Mailing address

208 SW Plymouth Ave
Fort White, FL 32038-4835
Phone (386) 344-3385

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.
Opted out of Medicare
Previously, effective Sep 1, 2022 through Sep 1, 2026

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
APRN9310302FLMDAcute Care Nurse Practitioner
ARNP9310302FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Adrian Lewis, M.D.,P.a. Past Accepting new patients
Care Station, LLC Family Past Accepting new patients
Medig Imaging LLC Past Accepting new patients

Organizations & group practices 3

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": "1214956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714003200000",
    "number": "1073775870",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "208 SW PLYMOUTH AVE",
            "city": "FORT WHITE",
            "state": "FL",
            "postal_code": "320384835",
            "telephone_number": "386-344-3385"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4410 W NEWBERRY RD STE A3",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "32607",
            "telephone_number": "352-374-2818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MERRICKS",
        "first_name": "MONICA",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-02",
        "last_updated": "2024-04-25",
        "certification_date": "2024-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "FL",
            "license": "APRN9310302",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "ARNP9310302",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gainesville, FL

Sources for this page

Verify at the official NPI Registry.