Individual provider Active NPI

Tammy Lynn Merson, MSN, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Denton, MD
National Provider Identifier
1235578261
Registry record updated Aug 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
R129055 Issued in MD
Practice address
108 Market St Ofc 3
Denton, MD 21629-1035
Phone
(410) 656-1541
Fax
(854) 400-4919
NPI assigned
Jun 24, 2013
Last updated
Aug 26, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X R129055 MD Primary
Registered Nurse 163W00000X R129055 MD

Addresses

Primary practice location

108 Market St Ofc 3
Denton, MD 21629-1035

Mailing address

14955 Greensboro Rd
Goldsboro, MD 21636-1311
Phone (410) 924-7360

Other practice location 1

29466 Pintail Dr
Easton, MD 21601-9323
Phone (443) 746-3698

Other identifiers 2

IdentifierTypeStateIssuer
R129055OtherMDMBON
2025092326OtherMDANCC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
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
I20260211001806 MD Practitioner - Nurse Practitioner 3173002912 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2026
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Shore Neurocognitive Health LLCGroup PAC ID 0749566214, 5 clinicians

Practice addresses (Care Compare)

29466 Pintail Dr
Suite 9
Easton, MD 21601-9324
Phone (443) 746-3698

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
R129055MDMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Shore Psychiatric Services LLC Psychiatric/Mental Health CurrentSince Dec 10, 2023 Accepting new patients
Shore Neurocognitive Health LLC CurrentSince Feb 2, 2026 Accepting new patients
Senior Care of Goldsboro, Inc Past Accepting new patients

Locations

29466 Pintail Dr
Ste 9
Easton, MD 21601
Phone (410) 770-5140

Organizations & group practices 3

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.

Hospital & facility affiliations 4

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": "1372032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787702400000",
    "number": "1235578261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14955 GREENSBORO RD",
            "city": "GOLDSBORO",
            "state": "MD",
            "postal_code": "216361311",
            "telephone_number": "410-924-7360",
            "fax_number": "854-400-4919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 MARKET ST OFC 3",
            "city": "DENTON",
            "state": "MD",
            "postal_code": "216291035",
            "telephone_number": "410-656-1541",
            "fax_number": "854-400-4919"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "29466 Pintail Dr",
            "address_purpose": "LOCATION",
            "city": "Easton",
            "state": "MD",
            "postal_code": "216019323",
            "country_code": "US",
            "telephone_number": "443-746-3698",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MERSON",
        "first_name": "TAMMY",
        "middle_name": "LYNN",
        "credential": "MSN, PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-06-24",
        "last_updated": "2026-08-26",
        "certification_date": "2026-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MD",
            "license": "R129055",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MD",
            "license": "R129055",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MBON",
            "identifier": "R129055",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANCC",
            "identifier": "2025092326",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Denton, MD

Sources for this page

Verify at the official NPI Registry.