Courtney Elizabeth Merkwan
Individual provider Active NPI Emergency Medicine Physician · Yankton, SD
NPI 1295908770 · NPPES record last updated Jul 2, 2024
Key facts
- NPI
- 1295908770
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Emergency Medicine Physician 207P00000X
- License
- 8119 (SD)
- Practice address
- 501 Summit St
Yankton, SD 57078-3855 - Phone
- (605) 668-8100
- NPI assigned
- Apr 7, 2008
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 13
Hospital & facility affiliations 3
Medicare Care Compare profile
- Specialty
- Emergency Medicine
- Education
- Other, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Alegent Creighton Clinic
Practice addresses (Care Compare)
7500 Mercy Rd
Omaha, NE 68124-2319
Phone (402) 398-5580
800 Mercy Dr
Council Bluffs, IA 51503-3128
Phone (712) 328-5490
Hospital & facility affiliations
- CHI Health Mercy Council Bluffs
- Sanford Vermillion Medical Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (4 enrollments) in SD, IA, NE, MN
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20111004000667 | SD | Practitioner - Emergency Medicine | 2264612324 | Reassigns benefits to 3 organizations |
| I20240613002125 | IA | Practitioner - Emergency Medicine | 2264612324 | Reassigns benefits to 1 organization |
| I20240913003453 | NE | Practitioner - Emergency Medicine | 2264612324 | Reassigns benefits to 1 organization |
| I20240920001079 | MN | Practitioner - Emergency Medicine | 2264612324 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sanford Health Network | Current |
Accepting new patients | |
| Sacred Heart Health Services | Current |
Accepting new patients | |
| Sanford Medical Center | Current |
Accepting new patients | |
| Sanford Health Network | Current |
Accepting new patients | |
| Alegent Creighton Clinic | Current |
Accepting new patients | |
| Sanford Medical Center | Current |
Accepting new patients | |
| Alegent Creighton Clinic | Current |
Accepting new patients | |
| Sacred Heart Health Services | Current |
Accepting new patients | |
| Sacred Heart Health Services | Current | Accepting new patients | |
| Sanford Health Network | Emergency Medicine | Current | Accepting new patients |
| Sanford Health Network | Current |
Accepting new patients | |
| University Medical Center, Inc | Emergency Medicine | Past | Accepting new patients |
Locations
800 Mercy Dr
Council Bluffs, IA 51503
Phone (712) 328-5000
800 Mercy Dr
Ste 220
Council Bluffs, IA 51503
Phone (712) 388-2660
2771 Solution Ctr
Chicago, IL 60677
249 5th St E
Tracy, MN 56175
Phone (507) 629-3520
1018 6th Ave
Worthington, MN 56187
Phone (507) 343-6100
7500 Mercy Rd
Omaha, NE 68124
Phone (402) 398-5880
16909 Lakeside Hills Ct
Ste 401
Omaha, NE 68130
Phone (402) 827-4920
4405 E 26th St
Sioux Falls, SD 57103
Phone (605) 328-9000
1305 W 18th St
Sioux Falls, SD 57105
Phone (605) 312-7300
20 S Plum St
Vermillion, SD 57069
Phone (605) 624-2611
401 9th Ave NW
Watertown, SD 57201
Phone (605) 886-9317
501 Summit St
Yankton, SD 57078
Phone (605) 655-1201
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Emergency Medicine Physician | 207P00000X | 8119 | SD | Yes |
| Emergency Medicine Physician | 207P00000X | MD-53181 | IA |
Addresses
Primary practice location
501 Summit St
Yankton, SD 57078-3855
Mailing address
702 Lewis St
Vermillion, SD 57069-3507
Other practice location 1
702 Lewis St
Vermillion, SD 57069-3507
Phone (605) 677-9916
Other practice location 2
800 Mercy Dr
Council Bluffs, IA 51503-3128
Phone (712) 328-5230
NPI Registry JSON
{
"created_epoch": "1207526400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1719878400000",
"number": "1295908770",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "702 LEWIS ST",
"city": "VERMILLION",
"state": "SD",
"postal_code": "570693507"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "501 SUMMIT ST",
"city": "YANKTON",
"state": "SD",
"postal_code": "570783855",
"telephone_number": "605-668-8100"
}
],
"practiceLocations": [
{
"address_1": "702 Lewis St",
"address_purpose": "LOCATION",
"city": "Vermillion",
"state": "SD",
"postal_code": "570693507",
"country_code": "US",
"telephone_number": "605-677-9916",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "800 Mercy Dr",
"address_purpose": "LOCATION",
"city": "Council Bluffs",
"state": "IA",
"postal_code": "515033128",
"country_code": "US",
"telephone_number": "712-328-5230",
"fax_number": "712-325-2484",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MERKWAN",
"first_name": "COURTNEY",
"middle_name": "ELIZABETH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-04-07",
"last_updated": "2024-07-02",
"certification_date": "2024-07-02",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "SD",
"license": "8119",
"primary": true
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "IA",
"license": "MD-53181",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Yankton, SD
- Roger W Meinen
- Steven Roman Mendez-Cifuentes
- Meridian Counseling & Family Services, LLC
- Meridian Eye Care PC
- Meridian Mental Health, LLC
- Gary Allen Merkwan
- Joel Vincent Merkwan
- Erick Messler
- Amanda Mettler
- Larry Alan Meyer
All providers in Yankton, SD · Emergency Medicine Physician in South Dakota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 2, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.