Active NPI
Penny Merkle, CRNA
- Certified Registered Nurse Anesthetist
- Monroe, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 4704253079
- Practice address
- 718 N Macomb St
Monroe, MI 48162-7815 - Phone
- (734) 240-8400
- NPI assigned
- Jan 13, 2015
- Last updated
- Nov 3, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 4704253079 | MI | Primary |
Addresses
Primary practice location
718 N Macomb St
Monroe, MI 48162-7815
Mailing address
718 N Macomb St
Monroe, MI 48162-7815
Phone (734) 240-8400
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | pmerkle92385@epicdirect.promedica.org |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI, OH
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2142 N Cove Blvd
Toledo, OH 43606-3895
Phone (419) 291-4000
5640 N Adrian Hwy
Adrian, MI 49221-8318
Phone (419) 291-4491
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4704253079 | MI | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Promedica Central Physicians | Current | Accepting new patients | |
| Mercy Memorial Hospital Corporation | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Mercy Memorial Hospital Corporation | Current | Accepting new patients | |
| Promedica Central Corporation of Michigan | Current | Accepting new patients | |
| Promedica Central Physicians | Current | Accepting new patients | |
| Anupama Shah MD, PLC | Current | Accepting new patients |
Locations
5640 N Adrian Hwy
Adrian, MI 49221
Phone (419) 291-3000
818 Riverside Ave
Adrian, MI 49221
Phone (517) 263-0711
3175 Smith Rd
Lambertville, MI 48144
Phone (734) 856-5494
1051 S Telegraph Rd
Ste 100
Monroe, MI 48161
Phone (734) 244-5383
718 N Macomb St
Monroe, MI 48162
Phone (734) 212-3097
200 E Russell Rd
Unit C
Tecumseh, MI 49286
Phone (517) 424-3883
100 Madison Ave
Toledo, OH 43604
Phone (567) 585-1964
2109 Hughes Dr
Ste 450
Toledo, OH 43606
Phone (419) 251-3112
2142 N Cove Blvd
Toledo, OH 43606
Phone (419) 291-1111
Organizations & group practices 6
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.
-
- Family Medicine Physician
- Toledo, OH
- NPI 1043270150
-
dba Monroe Anesthesiologists
- Pain Medicine (Anesthesiology) Physician
- Monroe, MI
- NPI 1679864623
-
- Certified Registered Nurse Anesthetist
- Monroe, MI
- NPI 1366483745
Nurse Anesthetist, Certified Registered
-
dba ProMedica Physicians Durable Medical Equipment
- Durable Medical Equipment & Medical Supplies
- Toledo, OH
- NPI 1669068482
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Promedica Monroe Regional Hospital
- General Acute Care Hospital
- Monroe, MI
- NPI 1811097223
-
dba Monroe Cancer Center
- Specialist
- Monroe, MI
- NPI 1376997551
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1421107200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1698969600000",
"number": "1316336431",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "718 N MACOMB ST",
"city": "MONROE",
"state": "MI",
"postal_code": "481627815",
"telephone_number": "734-240-8400"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "718 N MACOMB ST",
"city": "MONROE",
"state": "MI",
"postal_code": "481627815",
"telephone_number": "734-240-8400"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MERKLE",
"first_name": "PENNY",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-01-13",
"last_updated": "2023-11-03",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "MI",
"license": "4704253079",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "pmerkle92385@epicdirect.promedica.org",
"affiliation": "N",
"address_1": "100 Madison Ave",
"city": "Toledo",
"state": "OH",
"country_code": "US",
"postal_code": "436041516",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Monroe, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.