Individual provider Active NPI

Whitney Ashton Mervau, FNP

  • Family Nurse Practitioner
  • Kalkaska, MI
National Provider Identifier
1134720899
Registry record updated Mar 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
4704310896 Issued in MI
Practice address
419 S Coral St
Kalkaska, MI 49646-2503
Phone
(231) 633-9550
NPI assigned
Nov 7, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 4704310896 MI Primary

Addresses

Primary practice location

419 S Coral St
Kalkaska, MI 49646-2503

Mailing address

419 S Coral St
Kalkaska, MI 49646-2503
Phone (231) 633-9550

Other practice location 1

3960 W Royal Dr
Traverse City, MI 49684-9200
Phone (231) 947-0404

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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

Enrollment IDStateProvider typePAC IDDetails
I20211218000039 MI Practitioner - Nurse Practitioner 6002207495 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Kalkaska Memorial Health Center Family Current Accepting new patients
Munson Medical Center Current Accepting new patients
Munson Medical Center Nurse Practitioner CurrentSince Feb 14, 2024 Accepting new patients
Kalkaska Memorial Health Center Nurse Practitioner CurrentSince Sep 1, 2021 Accepting new patients
Munson Medical Center CurrentSince Feb 14, 2024 Accepting new patients
Kalkaska Memorial Health Center CurrentSince Sep 1, 2021 Accepting new patients
Kalkaska Memorial Health Center Nurse Practitioner Past Accepting new patients
Grand Traverse Allergy PC Past Accepting new patients

Locations

2513 Momentum Pl
Chicago, IL 60689
Phone (231) 935-8031

419 S Coral St
Kalkaska, MI 49646
Phone (231) 258-7500

3960 W Royal Dr
Traverse City, MI 49684
Phone (231) 947-0404

1400 Medical Campus Dr
Traverse City, MI 49684
Phone (231) 935-8000

1105 Sixth St
Traverse City, MI 49684
Phone (231) 922-9000

Interoperability endpoints

  • Direct secure messaging: wmervau2@direct.mhc.net

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.

NPI Registry JSON

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

{
    "created_epoch": "1604707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679356800000",
    "number": "1134720899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "419 S CORAL ST",
            "city": "KALKASKA",
            "state": "MI",
            "postal_code": "496462503",
            "telephone_number": "231-633-9550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "419 S CORAL ST",
            "city": "KALKASKA",
            "state": "MI",
            "postal_code": "496462503",
            "telephone_number": "231-633-9550"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3960 W Royal Dr",
            "address_purpose": "LOCATION",
            "city": "Traverse City",
            "state": "MI",
            "postal_code": "496849200",
            "country_code": "US",
            "telephone_number": "231-947-0404",
            "fax_number": "231-258-9900",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MERVAU",
        "first_name": "WHITNEY",
        "middle_name": "ASHTON",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-11-07",
        "last_updated": "2023-03-21",
        "certification_date": "2023-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704310896",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kalkaska, MI

Sources for this page

Verify at the official NPI Registry.