Active NPI
John E Mertz, MD PHD
- Emergency Medicine Physician
- St Cloud, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 43425
- 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
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 |
|---|---|---|---|---|
| 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine, Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 43425 | MN | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New 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 | Current | Accepting new patients |
| Centracare Health System - Long Prairie | Current | Accepting new patients | |
| Welia Health | Current | Accepting new patients | |
| Centracare Health System - Sauk Centre | Current | Accepting new patients | |
| Cuyuna Regional Medical Center | Current | Accepting new patients | |
| Centracare Health System - Sauk Centre | Current | Accepting new patients | |
| Cuyuna Regional Medical Center | Current | Accepting new patients | |
| Centracare Health System - Long Prairie | Current | Accepting new patients | |
| Emergency Physicians Professional Association | Current | Accepting new patients | |
| Centracare Health-Paynesville LLC | Current | Accepting new patients | |
| Centracare Health System - Melrose | Current | Accepting new patients | |
| Centracare Health-Paynesville LLC | Current | 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
- 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.
-
- Critical Access Hospital
- Long Prairie, MN
- NPI 1164471678
-
- Critical Access Hospital
- Melrose, MN
- NPI 1720045073
-
- Rural Health Clinic/Center
- Sauk Centre, MN
- NPI 1578813762
-
- Critical Access Hospital
- Sauk Centre, MN
- NPI 1740553932
-
- Critical Access Hospital
- Paynesville, MN
- NPI 1205269941
-
- Rural Health Clinic/Center
- Paynesville, MN
- NPI 1629402516
-
- Family Medicine Physician
- Longville, MN
- NPI 1861414518
-
- Emergency Medicine Physician
- Bloomington, MN
- NPI 1801871934
-
- Critical Access Hospital
- Mora, MN
- NPI 1528031390
-
- Rural Health Clinic/Center
- Long Prairie, MN
- NPI 1497986582
-
- Medicare Defined Swing Bed Hospital Unit
- Sauk Centre, MN
- NPI 1487928743
-
- Rural Health Clinic/Center
- Richmond, MN
- NPI 1144653734
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.