Individual provider Active NPI

Christina Merryman, FNP

  • Nurse Practitioner
  • Colorado Springs, CO
National Provider Identifier
1114435708
Registry record updated Feb 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
AP61087116 Issued in WA
Practice address
5799 Stetson Hills Blvd Ste 100
Colorado Springs, CO 80917
Phone
(719) 471-2273
Fax
(719) 325-8971
NPI assigned
Jan 17, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X AP61087116 WA Primary
Family Nurse Practitioner 363LF0000X 0001469 CO

Addresses

Primary practice location

5799 Stetson Hills Blvd Ste 100
Colorado Springs, CO 80917

Mailing address

5799 Stetson Hills Blvd Ste 100
Colorado Springs, CO 80917-4223
Phone (719) 471-2273

Other practice location 1

1120 15th St
Augusta, GA 30912-0004
Phone (706) 721-4951

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, WA, UT3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20180731000594 GA Practitioner - Nurse Practitioner 3274881859 Reassigns benefits to 1 organization
I20210218002504 WA Practitioner - Nurse Practitioner 3274881859 Reassigns benefits to 2 organizations
I20240306004199 UT Practitioner - Nurse Practitioner 3274881859 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Multicare Health SystemGroup PAC ID 7719899897, 2,312 clinicians

Practice addresses (Care Compare)

1901 S Union Ave
Tacoma, WA 98405-1702

315 Martin Luther King Jr Way
Tacoma, WA 98405-4234
Phone (253) 403-2130

316 Martin Luther King Jr Way
Tacoma, WA 98405-4252
Phone (253) 403-5200

317 Martin Luther King Jr Way
Tacoma, WA 98405-4234

317 MLK Jr Way
Multicare Social Work Serv
Tacoma, WA 98405-4234
Phone (253) 403-1126

4700 Point Fosdick Dr
Gig Harbor, WA 98335-1706

Hospital & facility affiliations

  • Tacoma General Allenmore Hospital Hospital, Tacoma, WA, CCN 500129

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
AP61087116WAMDNurse Practitioner
0001469COMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Olympia Emergency Services, PLLC CurrentSince Jul 15, 2023 Accepting new patients
Emergency Physicians Integrated Care, LLC CurrentSince Apr 1, 2024 Accepting new patients
Multicare Health System CurrentSince Jan 1, 2021 Accepting new patients
Multicare Health System CurrentSince Jan 1, 2021 Accepting new patients
Multicare Health System Current Accepting new patients
Au Medical Associates Emergency Medicine Billing Services, LLC CurrentSince Feb 28, 2018 Accepting new patients
Multicare Health System Nurse Practitioner Past Accepting new patients
Multicare Health System Nurse Practitioner Past Accepting new patients

Locations

1499 Walton Way
Ste 1400
Augusta, GA 30901
Phone (706) 721-4951

1120 15th St
Bldg O107
Augusta, GA 30912

1120 15th St
Augusta, GA 30912
Phone (706) 721-3873

3000 N Triumph Blvd
Lehi, UT 84043
Phone (385) 345-3000

2690 N 600 W
Pleasant View, UT 84414
Phone (801) 786-7911

333 N 300 W
Salt Lake City, UT 84103
Phone (801) 463-7415

3580 W 90th S
West Jordan, UT 84088
Phone (801) 263-0810

4700 Point Fosdick Dr
Ste 104
Gig Harbor, WA 98335
Phone (253) 459-7590

222 State Ave N
Kent, WA 98030
Phone (253) 372-7680

413 Lilly Rd NE
Olympia, WA 98506
Phone (360) 491-9480

316 S K St
Tacoma, WA 98405
Phone (253) 403-1375

315 S K St
Tacoma, WA 98405
Phone (253) 403-1291

3124 S 19th St
Ste 340
Tacoma, WA 98405
Phone (253) 459-7000

317 Martin Luther King Jr Way
Tacoma, WA 98405
Phone (253) 403-1400

Organizations & group practices 8

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.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1516147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612915200000",
    "number": "1114435708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5799 STETSON HILLS BLVD STE 100",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809174223",
            "telephone_number": "719-471-2273",
            "fax_number": "719-325-8971"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5799 STETSON HILLS BLVD STE 100",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "80917",
            "telephone_number": "719-471-2273",
            "fax_number": "719-325-8971"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1120 15th St",
            "address_purpose": "LOCATION",
            "city": "Augusta",
            "state": "GA",
            "postal_code": "309120004",
            "country_code": "US",
            "telephone_number": "706-721-4951",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MERRYMAN",
        "first_name": "CHRISTINA",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-01-17",
        "last_updated": "2021-02-10",
        "certification_date": "2021-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WA",
            "license": "AP61087116",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CO",
            "license": "0001469",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

Verify at the official NPI Registry.