Jacqueline Merrill, APRN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

3014040 Issued in KY

Practice address

1000 Industrial Dr
Owensboro, KY 42301-8715

Phone

(270) 689-6500

NPI assigned

Nov 7, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in KY

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

Specialty

Nurse Practitioner

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Rivervalley Behavioral Health IncGroup PAC ID 4082522396, 22 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Owensboro Health Regional Hospital Hospital, Owensboro, KY, CCN 180038

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Rivervalley Behavioral Health Inc

  dba RiverValley Behavioral Health

  • Community Health Clinic/Center
  • Owensboro, KY
  • NPI 1285689711
  Medicare reassignment Care Compare group
• Green River Regional Mental Health/Mental Retardation Board, Inc.

  dba RiverValley Behavioral Health

  • Psychiatric Residential Treatment Facility
  • Owensboro, KY
  • NPI 1356383111
  NPD (past)
• Rivervalley Behavioral Health Inc

  dba Amethyst Center

  • Substance Abuse Rehabilitation Facility
  • Owensboro, KY
  • NPI 1154099281
  NPD (past)

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

• Owensboro Health Inc

  dba Owensboro Health Regional Hospital

  • General Acute Care Hospital
  • Owensboro, KY
  • NPI 1285613612
  Care Compare affiliation

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

{
    "created_epoch": "1604707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609718400000",
    "number": "1093316747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 INDUSTRIAL DR",
            "city": "OWENSBORO",
            "state": "KY",
            "postal_code": "423018715",
            "telephone_number": "270-689-6500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 INDUSTRIAL DR",
            "city": "OWENSBORO",
            "state": "KY",
            "postal_code": "423018715",
            "telephone_number": "270-689-6500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MERRILL",
        "first_name": "JACQUELINE",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-11-07",
        "last_updated": "2021-01-04",
        "certification_date": "2021-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KY",
            "license": "3014040",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3014040",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Owensboro",
            "affiliation": "N",
            "address_1": "1000 Industrial Dr",
            "city": "Owensboro",
            "state": "KY",
            "country_code": "US",
            "postal_code": "423018715",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Mercy Ambulance of Evansville Inc (American Medical Response; AMR; Lifeguard Emergency Medical Services)
• Bryce A. Meredith, DO
• Megan Nichole Meredith, LPCC
• Jacinta Maureen Merimee, BA
• Andrea Nicole Merrill
• Kimberly Merritt, APRN- PMHNP
• Kara D Meschko, APRN
• Kendall Messmer, APRN
• Megan Wald Metcalf, M.D.
• Jennifer Lynn Meunier, NP

• Family Nurse Practitioner in Owensboro, KY
• Providers in Owensboro, KY by specialty
• Family Nurse Practitioner in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2021; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.