Individual provider Active NPI

Jennifer Merrick, APRN

  • Family Nurse Practitioner
  • Stanford, KY
National Provider Identifier
1285011247
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
3009367 Issued in KY
Practice address
110 Metker TRL
Stanford, KY 40484-1020
Phone
(606) 365-3360
NPI assigned
Apr 29, 2015
Last updated
Jul 21, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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 3009367 KY Primary

Addresses

Primary practice location

110 Metker TRL
Stanford, KY 40484-1020

Mailing address

110 Metker TRL
Stanford, KY 40484-1020
Phone (606) 365-3360

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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
I20150522002465 KY Practitioner - Nurse Practitioner 9830419316 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
May accept Medicare assignment
Group practices
Emhfl IncGroup PAC ID 7416842364, shared by 8 NPIs, 12 clinicians

Practice addresses (Care Compare)

109 Daniel Dr
Danville, KY 40422-2527
Phone (859) 236-3361

110 Metker TRL
Stanford, KY 40484-1020
Phone (606) 365-4600

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
3009367KYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Brock Medical, LLC CurrentSince Nov 17, 2020 Accepting new patients
Ephraim McDowell Health Resource, Inc Family CurrentSince Mar 1, 2016 Accepting new patients
Ephraim McDowell Health Resource, Inc Family CurrentSince Mar 1, 2016 Accepting new patients
Ephraim McDowell Health Resource, Inc. Family Current Accepting new patients
Fast Pace Kentucky PLLC CurrentSince Nov 17, 2020 Accepting new patients
PT Pros, Inc. Past Accepting new patients
Ephraim McDowell Health Resource, Inc Past Accepting new patients

Locations

110 W John Rowan Blvd
Bardstown, KY 40004
Phone (502) 337-7409

109 Daniel Dr
Danville, KY 40422
Phone (859) 236-3361

1541 Lebanon Rd
Ste 1
Danville, KY 40422
Phone (859) 236-3208

216 W Walnut St
Ste A
Danville, KY 40422
Phone (859) 239-5870

1649 Highway 192 W
London, KY 40741
Phone (606) 330-0055

2520 S Highway 27
Somerset, KY 42501
Phone (606) 416-5719

110 Metker Trl
Stanford, KY 40484
Phone (606) 365-3360

Organizations & group practices 7

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 6

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": "1430265600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1285011247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 METKER TRL",
            "city": "STANFORD",
            "state": "KY",
            "postal_code": "404841020",
            "telephone_number": "606-365-3360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 METKER TRL",
            "city": "STANFORD",
            "state": "KY",
            "postal_code": "404841020",
            "telephone_number": "606-365-3360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MERRICK",
        "first_name": "JENNIFER",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-04-29",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3009367",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stanford, KY

Sources for this page

Verify at the official NPI Registry.