Individual provider Active NPI

Elizabeth Rose Merkle, FNP-C

  • Family Nurse Practitioner
  • Tuscaloosa, AL
National Provider Identifier
1356973622
Registry record updated May 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F08211323 Issued in AL
Practice address
710 15TH St E
Tuscaloosa, AL 35401-3236
Phone
(205) 526-2053
NPI assigned
Feb 5, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 25, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 1-176503 AL
Family Nurse Practitioner 363LF0000X 1-176503 AL
Family Nurse Practitioner 363LF0000X F08211323 AL Primary

Addresses

Primary practice location

710 15TH St E
Tuscaloosa, AL 35401-3236

Mailing address

12393 Falcon Crest Cir
Northport, AL 35475-2600
Phone (954) 309-8177

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220304001635 AL Practitioner - Nurse Practitioner 4082008198 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
American Family Care, LLCGroup PAC ID 9739087818, 180 clinicians

Practice addresses (Care Compare)

Midtown 710
Tuscaloosa, AL 35401-3236
Phone (205) 526-2053

Merit-based Incentive Payment System (MIPS)

Final score
70.43 of 100Reported as group
Quality
65.59
Improvement activities
40
Cost
64.54

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
1-176503ALMDFamily Nurse Practitioner
F08211323ALMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
American Family Care, LLC CurrentSince Jan 10, 2022 Accepting new patients
American Family Care, LLC CurrentSince Jan 10, 2022 Accepting new patients

Locations

3700 Cahaba Beach Rd
Hoover, AL 35242
Phone (205) 403-8902

8151 Whitesburg Dr SE
Huntsville, AL 35802
Phone (256) 882-9711

710 15th St E
Tuscaloosa, AL 35401
Phone (205) 509-2941

9070 Highway 69 S
Tuscaloosa, AL 35405
Phone (205) 722-9500

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1580860800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653436800000",
    "number": "1356973622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12393 FALCON CREST CIR",
            "city": "NORTHPORT",
            "state": "AL",
            "postal_code": "354752600",
            "telephone_number": "954-309-8177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "710 15TH ST E",
            "city": "TUSCALOOSA",
            "state": "AL",
            "postal_code": "354013236",
            "telephone_number": "205-526-2053"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MERKLE",
        "first_name": "ELIZABETH",
        "middle_name": "ROSE",
        "name_prefix": "Mrs.",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-02-05",
        "last_updated": "2022-05-25",
        "certification_date": "2021-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "AL",
            "license": "1-176503",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1-176503",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "F08211323",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tuscaloosa, AL

Sources for this page

Verify at the official NPI Registry.