NPIMap

Individual provider Active NPI

Taylor Grant Mertz, MD

  • Family Medicine Physician
  • Moorhead, MN
National Provider Identifier
1285926360
Registry record updated Dec 24, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
59493 Issued in MN
Practice address
801 Belsly Blvd
Moorhead, MN 56560-5055
Phone
(218) 364-6800
Fax
(218) 233-9267
NPI assigned
May 9, 2011
Last updated
Dec 24, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 24, 2015

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 59493 MN Primary
Family Medicine Physician 207Q00000X 13729 ND

Addresses

Primary practice location

801 Belsly Blvd
Moorhead, MN 56560-5055

Mailing address

PO Box 6001
Fargo, ND 58108-6001
Phone (218) 364-6800

Other identifiers 1

IdentifierTypeStateIssuer
1285926360MedicaidWI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN, ND2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20150807014445 MN Practitioner - Family Practice 4981839412 Reassigns benefits to 1 organization
I20150916003148 ND Practitioner - Family Practice 4981839412 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of North Dakota School of Medicine, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Innovis Health LLCGroup PAC ID 9931298155, 561 clinicians

Practice addresses (Care Compare)

801 Belsly Blvd
Moorhead, MN 56560-5055
Phone (701) 364-6800

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
59493MNMDFamily Medicine Physician
13729NDMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Innovis Health LLC Family Medicine CurrentSince Aug 17, 2015 Accepting new patients
Innovis Health, LLC Current Accepting new patients
Innovis Health LLC Family Medicine CurrentSince Aug 17, 2015 Accepting new patients
Innovis Health LLC Family Medicine Current Accepting new patients
Innovis Health, LLC. Family Medicine CurrentSince Aug 17, 2015 Accepting new patients

Locations

801 Belsly Blvd
Moorhead, MN 56560
Phone (218) 364-6800

208 Oppegard Ave NW
Twin Valley, MN 56584
Phone (218) 584-5181

1702 University Dr S
Fargo, ND 58103
Phone (701) 364-4222

3000 32nd Ave S
Fargo, ND 58103
Phone (701) 364-3000

Ownership & related parties

All facility ownership & control disclosures 25

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Essentia Health St Mary's Detroit LakesDetroit Lakes, MN, CCN 240101 Hospital Corporate Director May 17, 2022
Essentia Health FosstonFosston, MN, CCN 241357 Hospital Corporate Director May 17, 2022
Essentia Health AdaAda, MN, CCN 241313 Hospital Corporate Director May 17, 2022
Essentia Health FosstonFosston, MN, CCN 24Z357 Hospital Corporate Director May 17, 2022
Essentia Health Holy Trinity HospitalGraceville, MN, CCN 241321 Hospital Corporate Director May 17, 2022
Essentia Health Holy Trinity HospitalGraceville, MN, CCN 24Z321 Hospital Corporate Director May 17, 2022
Innovis Health LLCFargo, ND, CCN 350070 Hospital Corporate Director May 17, 2022
Essentia Health AdaAda, MN, CCN 24Z313 Hospital Corporate Director May 17, 2022
Essentia Health - Oak CrossingDetroit Lakes, MN, CCN 245212 Skilled nursing facility Corporate Director May 17, 2022
Essentia Health Grace HomeGraceville, MN, CCN 245579B Skilled nursing facility Corporate Director May 17, 2022
Essentia Health First Care Living CenterFosston, MN, CCN 245512 Skilled nursing facility Corporate Director May 17, 2022
Essentia Health Home Care WestDetroit Lakes, MN, CCN 248052 Home health agency Corporate Director May 17, 2022
Essentia Health Home Care GracevilleGraceville, MN, CCN 248045 Home health agency Corporate Director May 17, 2022
Essentia Health Hospice WestFosston, MN, CCN 241564 Hospice Corporate Director May 17, 2022
Essentia Health Ada ClinicAda, MN, CCN 243416 Rural health clinic Corporate Director May 17, 2022
Essentia Health Graceville ClinicGraceville, MN, CCN 243997B Rural health clinic Corporate Director May 17, 2022
Essentia Health Oklee ClinicOklee, MN, CCN 243464 Rural health clinic Corporate Director May 17, 2022
Essentia Health Bagley ClinicBagley, MN, CCN 243461 Rural health clinic Corporate Director May 17, 2022
Essentia Health St Mary's Mahnomen ClinicMahnomen, MN, CCN 243468 Rural health clinic Corporate Director May 17, 2022
Essentia Health St Mary's Pelican Rapids ClinicPelican Rapids, MN, CCN 243472 Rural health clinic Corporate Director May 17, 2022
Essentia Health Park Rapids ClinicPark Rapids, MN, CCN 243471 Rural health clinic Corporate Director May 17, 2022
Essentia Health Menahga ClinicMenahga, MN, CCN 243475 Rural health clinic Corporate Director May 17, 2022
Essentia Health Walker ClinicWalker, MN, CCN 243474 Rural health clinic Corporate Director May 17, 2022
Essentia Health St. Mary's Frazee ClinicFrazee, MN, CCN 243492 Rural health clinic Corporate Director May 17, 2022
Essentia Health Park Rapids Hwy 34 ClinicPark Rapids, MN, CCN 243493 Rural health clinic Corporate Director May 17, 2022

Owned or controlled facilities with NPI records 25

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

View all 25

Organizations & group practices 5

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 3

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": "1304899200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1450915200000",
    "number": "1285926360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6001",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581086001",
            "telephone_number": "218-364-6800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 BELSLY BLVD",
            "city": "MOORHEAD",
            "state": "MN",
            "postal_code": "565605055",
            "telephone_number": "218-364-6800",
            "fax_number": "218-233-9267"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MERTZ",
        "first_name": "TAYLOR",
        "middle_name": "GRANT",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-05-09",
        "last_updated": "2015-12-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MN",
            "license": "59493",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "ND",
            "license": "13729",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1285926360",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Moorhead, MN

Sources for this page

Verify at the official NPI Registry.