Brandi Ann Merritt
Individual provider Active NPI Occupational Therapist · Madison, MN
NPI 1386213973 · NPPES record last updated Dec 10, 2023
Key facts
- NPI
- 1386213973
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapist 225X00000X
- License
- 106562 (MN)
- Practice address
- 900 2ND Ave
Madison, MN 56256-1006 - Phone
- (320) 698-7162
- Fax
- (320) 598-3378
- NPI assigned
- Jun 18, 2021
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 5
Medicare Care Compare profile
- 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 LLC
Practice addresses (Care Compare)
8 5TH St SE
Watertown, SD 57201-3713
Phone (605) 753-5400
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in SD, MN
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Avera Marshall | Current |
Accepting new patients | |
| Avera Marshall | Current | Accepting new patients | |
| Avera Marshall | Current |
Accepting new patients | |
| Big Stone Therapies Baxter, LLC | Occupational Therapist | Past |
Accepting new patients |
Locations
300 S Bruce St
Marshall, MN 56258
Phone (507) 532-9631
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 106562 | MN | Yes |
| 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
Other providers in Madison, MN
- Madison Healthcare Services
- Madison Healthcare Services
- Madison Healthcare Services
- Madison Healthcare Services
- Victoria Marquardt
- Melanie Miller
- Maria Nolte
- Dallas Nyflot
- Maribeth Olson
- Holly Rock
All providers in Madison, MN · Occupational Therapist in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 10, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.