Individual provider Active NPI

Brandi Ann Merritt

  • Occupational Therapist
  • Madison, MN
National Provider Identifier
1386213973
Registry record updated Dec 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
106562 Issued in MN
Practice address
900 2ND Ave
Madison, MN 56256-1006
Phone
(320) 698-7162
Fax
(320) 598-3378
NPI assigned
Jun 18, 2021
Last updated
Dec 10, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 106562 MN Primary
Occupational Therapist 225X00000X 1317 SD

Addresses

Primary practice location

900 2ND Ave
Madison, MN 56256-1006

Mailing address

500 Cross St
Big Stone City, SD 57216-8237
Phone (605) 541-1140

Other practice location 1

8 5th St SE
Watertown, SD 57201-3713
Phone (605) 753-5400

Other practice location 2

110 28th Ave SE Apt 301
Watertown, SD 57201-8420
Phone (605) 753-5400

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SD, MN2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20231222001307 SD Practitioner - Occupational Therapist in Private Practice 3173973799 Reassigns benefits to 1 organization
I20240531003742 MN Practitioner - Occupational Therapist in Private Practice 3173973799 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Big Stone Therapies Watertown LLCGroup PAC ID 9133302409, 9 clinicians

Practice addresses (Care Compare)

8 5TH St SE
Watertown, SD 57201-3713
Phone (605) 753-5400

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Avera Marshall CurrentSince Apr 30, 2024 Accepting new patients
Avera Marshall CurrentSince Apr 30, 2024 Accepting new patients
Avera Marshall Current Accepting new patients
Big Stone Therapies Baxter, LLC Occupational Therapist PastSince Jan 15, 2024 Accepting new patients

Locations

300 S Bruce St
Marshall, MN 56258
Phone (507) 532-9631

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1623974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702166400000",
    "number": "1386213973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 CROSS ST",
            "city": "BIG STONE CITY",
            "state": "SD",
            "postal_code": "572168237",
            "telephone_number": "605-541-1140",
            "fax_number": "605-541-0109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 2ND AVE",
            "city": "MADISON",
            "state": "MN",
            "postal_code": "562561006",
            "telephone_number": "320-698-7162",
            "fax_number": "320-598-3378"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8 5th St SE",
            "address_purpose": "LOCATION",
            "city": "Watertown",
            "state": "SD",
            "postal_code": "572013713",
            "country_code": "US",
            "telephone_number": "605-753-5400",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "110 28th Ave SE Apt 301",
            "address_purpose": "LOCATION",
            "city": "Watertown",
            "state": "SD",
            "postal_code": "572018420",
            "country_code": "US",
            "telephone_number": "605-753-5400",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MERRITT",
        "first_name": "BRANDI",
        "middle_name": "ANN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-18",
        "last_updated": "2023-12-10",
        "certification_date": "2023-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MN",
            "license": "106562",
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "SD",
            "license": "1317",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Madison, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 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.

Verify at the official NPI Registry.