Individual provider Active NPI

John E Mertz, MD PHD

  • Emergency Medicine Physician
  • St Cloud, MN
National Provider Identifier
1346217874
Registry record updated Nov 5, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
43425 Issued in MN
Practice address
1406 6 Ave N
St Cloud, MN 56301-1901
Phone
(320) 255-5657
Fax
(320) 656-7194
NPI assigned
Mar 3, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 43425 MN Primary

Addresses

Primary practice location

1406 6 Ave N
St Cloud, MN 56301-1901

Mailing address

511 9 Ave S
St Cloud, MN 56301-4238
Phone (612) 227-6312

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20031118000430 MN Practitioner - Emergency Medicine 2769396373 Reassigns benefits to 12 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
43425MNMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cuyuna Regional Medical Center Current Accepting new patients
Centracare Health System - Sauk Centre Current Accepting new patients
Centracare Health-Paynesville LLC Current Accepting new patients
Welia Health Current Accepting new patients
Emergency Physicians Professional Association Emergency Medicine CurrentSince Jul 1, 2016 Accepting new patients
Centracare Health System - Long Prairie CurrentSince Oct 1, 2023 Accepting new patients
Welia Health CurrentSince Jan 8, 2024 Accepting new patients
Centracare Health System - Sauk Centre CurrentSince Oct 1, 2023 Accepting new patients
Cuyuna Regional Medical Center CurrentSince Feb 1, 2024 Accepting new patients
Centracare Health System - Sauk Centre CurrentSince Oct 1, 2023 Accepting new patients
Cuyuna Regional Medical Center CurrentSince Feb 1, 2024 Accepting new patients
Centracare Health System - Long Prairie CurrentSince Oct 1, 2023 Accepting new patients
Emergency Physicians Professional Association CurrentSince Jul 1, 2016 Accepting new patients
Centracare Health-Paynesville LLC CurrentSince Jan 1, 2024 Accepting new patients
Centracare Health System - Melrose CurrentSince Oct 1, 2023 Accepting new patients
Centracare Health-Paynesville LLC CurrentSince Jan 1, 2024 Accepting new patients
Centracare Clinic Southwest LLC Past Accepting new patients
Emergency Physicians & Consultants, PA Emergency Medicine Past Accepting new patients

Locations

320 E Main St
Crosby, MN 56441
Phone (218) 546-7000

50 Centracare Dr
Long Prairie, MN 56347
Phone (320) 732-2131

525 Main St W
Melrose, MN 56352
Phone (320) 256-4228

4300 Marketpointe Dr
Ste 100
Minneapolis, MN 55435
Phone (952) 767-4574

301 Highway 65 S
Mora, MN 55051
Phone (320) 225-3317

200 W 1st St
Paynesville, MN 56362
Phone (320) 243-3767

1425 Main St N
Pine City, MN 55063
Phone (320) 322-5141

1406 6th Ave N
Saint Cloud, MN 56303
Phone (320) 255-5657

1200 6th Ave N
Saint Cloud, MN 56303
Phone (320) 252-3342

425 Elm St N
Sauk Centre, MN 56378
Phone (320) 352-2221

301 Becker Ave SW
Willmar, MN 56201
Phone (320) 231-4120

Interoperability endpoints

  • Direct secure messaging: jmertz1453@direct.centracare.com

Organizations & group practices 18

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.

View all 18

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1141344000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1194220800000",
    "number": "1346217874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "511 9 AVE S",
            "city": "ST CLOUD",
            "state": "MN",
            "postal_code": "563014238",
            "telephone_number": "612-227-6312"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1406 6 AVE N",
            "city": "ST CLOUD",
            "state": "MN",
            "postal_code": "563011901",
            "telephone_number": "320-255-5657",
            "fax_number": "320-656-7194"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MERTZ",
        "first_name": "JOHN",
        "middle_name": "E",
        "name_prefix": "Mr.",
        "credential": "MD PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-03",
        "last_updated": "2007-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MN",
            "license": "43425",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St Cloud, MN

Sources for this page

Verify at the official NPI Registry.