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

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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 (951 clinicians)

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 Hospital · Council Bluffs, IA · CCN 160028
  • Sanford Vermillion Medical Center Hospital · Vermillion, SD · CCN 431336

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 IDStateProvider typePAC IDDetails
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

OrganizationSpecialtyStatusNew patients
Sanford Health Network Current
since Sep 5, 2024
Accepting new patients
Sacred Heart Health Services Current
since Jan 1, 2017
Accepting new patients
Sanford Medical Center Current
since Aug 1, 2011
Accepting new patients
Sanford Health Network Current
since Aug 7, 2024
Accepting new patients
Alegent Creighton Clinic Current
since Jul 16, 2024
Accepting new patients
Sanford Medical Center Current
since Aug 1, 2011
Accepting new patients
Alegent Creighton Clinic Current
since Jul 16, 2024
Accepting new patients
Sacred Heart Health Services Current
since Jan 1, 2017
Accepting new patients
Sacred Heart Health Services Current Accepting new patients
Sanford Health Network Emergency Medicine Current Accepting new patients
Sanford Health Network Current
since Aug 7, 2024
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)CodeLicenseStatePrimary
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

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jul 2, 2024.

{
    "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

All providers in Yankton, SD · Emergency Medicine Physician in South Dakota

Sources for this page

Verify at the official NPI Registry.