Individual provider Active NPI

Therese Lynette Merrill, FNP-C

  • Nurse Practitioner
  • McKinney, TX
National Provider Identifier
1255898466
Registry record updated Nov 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
AP140768 Issued in TX
Practice address
5830 Collin McKinney Pkwy Ste 302
McKinney, TX 75070-5109
Phone
(214) 272-2774
NPI assigned
Feb 24, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X AP140768 TX
Nurse Practitioner 363L00000X AP140768 TX Primary

Addresses

Primary practice location

5830 Collin McKinney Pkwy Ste 302
McKinney, TX 75070-5109

Mailing address

PO Box 516
Oregon, IL 61061-0516

Other identifiers 1

IdentifierTypeStateIssuer
403090001MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20190522001555 TX Practitioner - Nurse Practitioner 3072856632 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Cardio and Renal Therapeutics of North Texas PLLCGroup PAC ID 7810329638, 32 clinicians

Practice addresses (Care Compare)

5830 Collin McKinney Pkwy
Suite 302
McKinney, TX 75070-5109
Phone (214) 272-2774

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP140768TXMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Kidney Care of North Texas, P.L.L.C. CurrentSince Apr 16, 2019 Accepting new patients
Advanced Kidney Care of North Texas, P.L.L.C. Current Accepting new patients
Cardio & Renal Therapeutics of North Texas PLLC CurrentSince Apr 1, 2021 Accepting new patients

Locations

5830 Collin McKinney Pkwy
Ste 302
McKinney, TX 75070
Phone (212) 272-2774

5236 W University Dr
Ste 4200
McKinney, TX 75071
Phone (214) 544-9590

4708 Alliance Blvd
Ste 600
Plano, TX 75093
Phone (469) 467-0011

300 N Highland Ave
Ste 310
Sherman, TX 75092
Phone (903) 957-0003

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/2940/brand/1/csg/1/fhir/r4

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1550966400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698796800000",
    "number": "1255898466",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 516",
            "city": "OREGON",
            "state": "IL",
            "postal_code": "610610516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5830 COLLIN MCKINNEY PKWY STE 302",
            "city": "MCKINNEY",
            "state": "TX",
            "postal_code": "750705109",
            "telephone_number": "214-272-2774"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MERRILL",
        "first_name": "THERESE",
        "middle_name": "LYNETTE",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-02-24",
        "last_updated": "2023-11-01",
        "certification_date": "2021-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "AP140768",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "AP140768",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "403090001",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in McKinney, TX

Sources for this page

Verify at the official NPI Registry.