Individual provider Active NPI

Andrea Elizabeth Merkley, APRN

  • Family Nurse Practitioner
  • Heber City, UT
National Provider Identifier
1508355280
Registry record updated Jul 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
8318581-4405 Issued in UT
Practice address
321 W 1300 S Ste 120
Heber City, UT 84032-3147
Phone
(435) 200-3502
Fax
(435) 270-1572
NPI assigned
May 8, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 8318581-4405 UT Primary

Addresses

Primary practice location

321 W 1300 S Ste 120
Heber City, UT 84032-3147

Mailing address

321 W 1300 S Ste 120
Heber City, UT 84032-3147
Phone (435) 200-3502

Other identifiers 1

IdentifierTypeStateIssuer
8318581-3102OtherUTSTATE OF UTAH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT
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 1

Enrollment IDStateProvider typePAC IDDetails
I20220520001649 UT Practitioner - Nurse Practitioner 8820485519 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
8318581-3102UTMDCase Management Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
The Dermatology House PC Dermatology CurrentSince May 1, 2022 Accepting new patients
Apres Dermatology LLC Dermatology Past Accepting new patients
Mountain Medical Physician Specialists PC PastSince Jan 1, 2022 Accepting new patients

Locations

1922 Prospector Ave
Park City, UT 84060

1526 Ute Blvd
Ste 104
Park City, UT 84098
Phone (317) 445-3555

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1525737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785196800000",
    "number": "1508355280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "321 W 1300 S STE 120",
            "city": "HEBER CITY",
            "state": "UT",
            "postal_code": "840323147",
            "telephone_number": "435-200-3502",
            "fax_number": "435-270-1572"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "321 W 1300 S STE 120",
            "city": "HEBER CITY",
            "state": "UT",
            "postal_code": "840323147",
            "telephone_number": "435-200-3502",
            "fax_number": "435-270-1572"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MERKLEY",
        "first_name": "ANDREA",
        "middle_name": "ELIZABETH",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-08",
        "last_updated": "2026-07-28",
        "certification_date": "2026-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "UT",
            "license": "8318581-4405",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF UTAH",
            "identifier": "8318581-3102",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Heber City, UT

Sources for this page

Verify at the official NPI Registry.