Individual provider Active NPI

Rosa Linda Niemi, APRN

  • Family Nurse Practitioner
  • Phenix City, AL
National Provider Identifier
1467042671
Registry record updated Jan 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1-182024 Issued in AL
Practice address
1720 Knowles Rd
Phenix City, AL 36869-7135
Phone
(334) 291-0485
NPI assigned
Jan 21, 2021
Last updated
Jan 21, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 1-182024 AL Primary
Family Nurse Practitioner 363LF0000X 161692 AK

Addresses

Primary practice location

1720 Knowles Rd
Phenix City, AL 36869-7135

Mailing address

1761 Commons North Loop Unit 4101
Tuscaloosa, AL 35406-3591
Phone (907) 650-7223

Other names 1

  • Rosa Linda Mergenthal Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL, GA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20210204003156 AL Practitioner - Nurse Practitioner 1355755158 Reassigns benefits to 1 organization
I20220110002195 GA Practitioner - Nurse Practitioner 1355755158 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Inphynet Primary Care Physicians Southeast PCGroup PAC ID 3779497045, 71 clinicians

Practice addresses (Care Compare)

2122 Manchester Expy
Columbus, GA 31904-6878
Phone (706) 596-4000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
161692AKMDFamily Nurse Practitioner
1-182024ALMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
East Alabama Endocrinology, P.C. CurrentSince Dec 13, 2021 Accepting new patients
Inphynet Primary Care Physicians Southeast PC CurrentSince Nov 1, 2024 Accepting new patients

Locations

3320 Skyway Dr
Ste 602
Opelika, AL 36801
Phone (334) 737-2737

1810 Stadium Dr
Ste 210
Phenix City, AL 36867
Phone (334) 291-5255

1400 Bradley Lake Blvd
Columbus, GA 31904
Phone (334) 737-2737

2122 Manchstr Expy
Columbus, GA 31904
Phone (706) 320-3128

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 1

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": "1611187200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611187200000",
    "number": "1467042671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1761 COMMONS NORTH LOOP UNIT 4101",
            "city": "TUSCALOOSA",
            "state": "AL",
            "postal_code": "354063591",
            "telephone_number": "907-650-7223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1720 KNOWLES RD",
            "city": "PHENIX CITY",
            "state": "AL",
            "postal_code": "368697135",
            "telephone_number": "334-291-0485"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NIEMI",
        "first_name": "ROSA",
        "middle_name": "LINDA",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-01-21",
        "last_updated": "2021-01-21",
        "certification_date": "2021-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1-182024",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AK",
            "license": "161692",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ROSA",
            "last_name": "MERGENTHAL",
            "middle_name": "LINDA",
            "credential": "RN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Phenix City, AL

Sources for this page

Verify at the official NPI Registry.