Stephanie F. Merck, A.P.R.N.

Primary specialty

Acute Care Nurse PractitionerTaxonomy code 363LA2100X

License

001076 Issued in CT

Practice address

15 Corporate Dr
Suite 2-1
Trumbull, CT 06611-1351

Phone

(203) 452-2446

Fax

(203) 452-2424

NPI assigned

Jul 19, 2006

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 1

Medicare fee-for-service enrollment

Enrolled in CT

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

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

Practice roles

Locations

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.

• Novella Medicine Services of Massachusetts, PLLC

  • Internal Medicine Physician
  • Worcester, MA
  • NPI 1689316283

  CT

  Medicare reassignment NPD
• Signify Health Medical Associates, PLLC

  • General Practice Physician
  • Dallas, TX
  • NPI 1750845863

  CT

  Medicare reassignment NPD
• Novella Medicine Services of Massachusetts, PLLC

  • Internal Medicine Physician
  • Waterbury, CT
  • NPI 1932805660
  NPD
• Hartford Healthcare Medical Group Specialists, PLLC

  • Surgery Physician
  • Hartford, CT
  • NPI 1023584216
  NPD (past)

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

{
    "created_epoch": "1153267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1192752000000",
    "number": "1235158932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 CORPORATE DR",
            "address_2": "SUITE 2-1",
            "city": "TRUMBULL",
            "state": "CT",
            "postal_code": "066111351",
            "telephone_number": "203-452-2446",
            "fax_number": "203-452-2424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 CORPORATE DR",
            "address_2": "SUITE 2-1",
            "city": "TRUMBULL",
            "state": "CT",
            "postal_code": "066111351",
            "telephone_number": "203-452-2446",
            "fax_number": "203-452-2424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MERCK",
        "first_name": "STEPHANIE",
        "middle_name": "F.",
        "credential": "A.P.R.N.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-19",
        "last_updated": "2007-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "CT",
            "license": "001076",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BLUE CROSS BLUE SH",
            "identifier": "400001076CT01",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Julie McNeil, RN
• Jacqueline McSally, PA-C
• Victor M. Mejia, M.D.
• Lauren K Meli, LCSW
• Yakov D Melinkov, LAC
• Ana Carolina Meyer, NP
• Stephanie Michaelides, AU.D, CCC-A, FAAA
• Megan Micola, OT
• Isemite Milfort, COTA
• Matthew Steven Miller, MD

• Acute Care Nurse Practitioner in Trumbull, CT
• Providers in Trumbull, CT by specialty
• Acute Care Nurse Practitioner in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2007; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.