Vicki Pauline Merold, ARNP C

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

ARNP1233422 Issued in FL

Practice address

1717 N E St
Ste 331
Pensacola, FL 32501-6335

Phone

(850) 484-6500

Fax

(850) 857-1747

NPI assigned

Oct 19, 2005

Last updated

Jun 17, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Vicki Pauline Godwin Former name

Medicare fee-for-service enrollment

Enrolled in FL

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

Merit-based Incentive Payment System (MIPS)

Final score

81.01 of 100Reported as group

Quality

62.34

Promoting interoperability

95

Improvement activities

40

Cost

78.51

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: vicki.merold@hca5.eclinicaldirectplus.com

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.

• Baptist Medical Group LLC

  • Hematology & Oncology Physician
  • Pensacola, FL
  • NPI 1376779892
  Medicare reassignment NPD
• Baptist Medical Group LLC

  • Orthopaedic Surgery Physician
  • Pensacola, FL
  • NPI 1629749692
  NPD
• Emergency Medicine Specialists PLC

  • Emergency Medicine Physician
  • Pensacola, FL
  • NPI 1033158092
  NPD (past)
• Northwest Florida Heart Group PA

  • Cardiovascular Disease Physician
  • Pensacola, FL
  • NPI 1376532036
  NPD (past)

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

{
    "created_epoch": "1129680000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623888000000",
    "number": "1104815455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1717 N E ST",
            "address_2": "STE 331",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325016335",
            "telephone_number": "850-484-6500",
            "fax_number": "850-444-1755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1717 N E ST",
            "address_2": "STE 331",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325016335",
            "telephone_number": "850-484-6500",
            "fax_number": "850-857-1747"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4252 Woodbine Rd",
            "address_purpose": "LOCATION",
            "city": "Pace",
            "state": "FL",
            "postal_code": "325718703",
            "country_code": "US",
            "telephone_number": "850-969-7979",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MEROLD",
        "first_name": "VICKI",
        "middle_name": "PAULINE",
        "name_prefix": "Mrs.",
        "credential": "ARNP C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-19",
        "last_updated": "2021-06-17",
        "certification_date": "2021-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "FL",
            "license": "ARNP1233422",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "307108100",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1104815455",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "VICKI",
            "last_name": "GODWIN",
            "middle_name": "PAULINE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Zeke Edward Merchant
• Brittany Mercier
• Taylor McGraw Mercke, DMD
• Destiny Danae Mere, RBT
• Christopher Meretsky, MD
• Ellen Ann Merrell, RN
• Kelly Elizabeth Merriman, LMT
• Dawn Merritt
• Merrie Edith Merritt
• Nadia Merritt, MSW

• Adult Health Nurse Practitioner in Pensacola, FL
• Providers in Pensacola, FL by specialty
• Adult Health Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 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.