Active NPI
Lisa R Merritt, NP
- Family Nurse Practitioner
- Elmira, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 350081
- Practice address
- 600 Roe Ave FL 4
Elmira, NY 14905-1676 - Phone
- (607) 271-3780
- Fax
- (607) 271-3894
- NPI assigned
- Jan 15, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 622681-1 | NY | |
| Family Nurse Practitioner | 363LF0000X | 350081 | NY | Primary |
Addresses
Primary practice location
600 Roe Ave FL 4
Elmira, NY 14905-1676
Mailing address
600 Ivy St Ste 206
Elmira, NY 14905-1627
Phone (607) 271-2050
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 07546647 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
600 Roe Ave
FL 4
Elmira, NY 14905-1629
Phone (607) 271-3780
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 80.15 of 100
- Quality
- 46.76
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 77.08
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 622681-1 | NY | MD | Registered Nurse |
| 350081 | NY | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wellnow Urgent Care, PC | Current | Accepting new patients | |
| Arnot Ogden Medical Center | Current | Accepting new patients | |
| Arnot Ogden Medical Center | Current | Accepting new patients | |
| Arnot Medical Services PLLC | Past | Accepting new patients | |
| Binghamton University Health Services | Past | Accepting new patients | |
| Binghamton University | Past | Accepting new patients |
Locations
600 Roe Ave
#4
Elmira, NY 14905
600 Roe Ave
Fl 4
Elmira, NY 14905
Phone (607) 271-3780
600 Roe Ave
Elmira, NY 14905
Phone (607) 733-3639
600 Roe Ave
Ste 1F
Elmira, NY 14905
Phone (607) 795-8161
600 Ivy St
Ste 206
Elmira, NY 14905
Phone (607) 271-2050
446 Fairview Ave
Ste 200
Hudson, NY 12534
Phone (518) 267-3496
7375 Oswego Rd
#1
Liverpool, NY 13090
Phone (315) 291-0064
Interoperability endpoints
- lmerritt26828@direct.xtensys.com
- lisa.merritt@arn.eclinicaldirectplus.com
Organizations & group practices 6
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.
-
- General Acute Care Hospital
- Elmira, NY
- NPI 1083605661
-
- Urgent Care Clinic/Center
- Liverpool, NY
- NPI 1669825162
-
- Community/Retail Pharmacy
- Elmira, NY
- NPI 1831875004
-
- Internal Medicine Physician
- Elmira, NY
- NPI 1427326768
-
- Primary Care Clinic/Center
- Binghamton, NY
- NPI 1558901173
-
- Student Health Clinic/Center
- Binghamton, NY
- NPI 1568679520
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Elmira, NY
- NPI 1083605661
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1579046400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1725408000000",
"number": "1407496649",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "600 IVY ST STE 206",
"city": "ELMIRA",
"state": "NY",
"postal_code": "149051627",
"telephone_number": "607-271-2050",
"fax_number": "607-271-2071"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "600 ROE AVE FL 4",
"city": "ELMIRA",
"state": "NY",
"postal_code": "149051676",
"telephone_number": "607-271-3780",
"fax_number": "607-271-3894"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MERRITT",
"first_name": "LISA",
"middle_name": "R",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-01-15",
"last_updated": "2024-09-04",
"certification_date": "2024-09-04",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "NY",
"license": "622681-1",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NY",
"license": "350081",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "07546647",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Elmira, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2024; 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.
- 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.