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Individual provider Active NPI

Nancy A. Merrett, NURSE PRACTIONER

  • Nurse Practitioner
  • Nocona, TX
National Provider Identifier
1417170606
Registry record updated Jul 27, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
501932 Issued in TX
Practice address
90 Park Rd
Nocona, TX 76255-3616
Phone
(940) 825-3235
Fax
(940) 825-3052
NPI assigned
Apr 10, 2007
Last updated
Jul 27, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 501932 TX Primary

Addresses

Primary practice location

90 Park Rd
Nocona, TX 76255-3616

Mailing address

100 Park Rd
Nocona, TX 76255-3616
Phone (940) 825-3235

Other names 1

  • Ms. Nancy A Benish Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100216000110 TX Practitioner - Nurse Practitioner 6305980277 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Nocona Hospital DistrictGroup PAC ID 5395786180, 23 clinicians

Practice addresses (Care Compare)

100 Park Rd
Nocona, TX 76255-3616
Phone (940) 825-3235

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
501932TXMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Nocona Hospital District CurrentSince Oct 10, 2009 Accepting new patients
Nocona Hospital District CurrentSince Oct 10, 2009 Accepting new patients

Locations

100 Park Rd
Nocona, TX 76255
Phone (940) 825-3235

90 Park Rd
Nocona, TX 76255
Phone (940) 825-3333

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1176163200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1311724800000",
    "number": "1417170606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 PARK RD",
            "city": "NOCONA",
            "state": "TX",
            "postal_code": "762553616",
            "telephone_number": "940-825-3235",
            "fax_number": "940-825-6304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "90 PARK RD",
            "city": "NOCONA",
            "state": "TX",
            "postal_code": "762553616",
            "telephone_number": "940-825-3235",
            "fax_number": "940-825-3052"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MERRETT",
        "first_name": "NANCY",
        "middle_name": "A.",
        "name_prefix": "Ms.",
        "credential": "NURSE PRACTIONER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-10",
        "last_updated": "2011-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "501932",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NANCY",
            "last_name": "BENISH",
            "middle_name": "A",
            "prefix": "MS.",
            "credential": "NURSE PRACTIONER",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Nocona, TX

Sources for this page

Verify at the official NPI Registry.