Individual provider Active NPI

Seth Allen Merritt, FNP, RN

  • Family Nurse Practitioner
  • Portland, OR
National Provider Identifier
1528259884
Registry record updated Sep 25, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
200850079NP Issued in OR
Practice address
6035 SE Milwaukie Ave
Portland, OR 97202-5344
Phone
(971) 258-1120
Fax
(866) 309-2838
NPI assigned
Aug 1, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 25, 2015

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 200850079NP OR Primary

Addresses

Primary practice location

6035 SE Milwaukie Ave
Portland, OR 97202-5344

Mailing address

6035 SE Milwaukie Ave
Portland, OR 97202-5344
Phone (971) 258-1120

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
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
I20130212000170 OR Practitioner - Nurse Practitioner 7214181932 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Merritt Health and Wellness, LLCGroup PAC ID 1052565777, 7 clinicians

Practice addresses (Care Compare)

6035 SE Milwaukie Ave
Portland, OR 97202-5344
Phone (971) 258-1120

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
200850079NPORMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Merritt Health and Wellness LLC CurrentSince Sep 14, 2012 Accepting new patients
Clinicops, LLC Family Past Accepting new patients

Locations

975 SE Sandy Blvd
Ste 230
Portland, OR 97214
Phone (503) 379-1902

5736 NE Glisan St
Portland, OR 97213
Phone (503) 236-2014

6035 SE Milwaukie Ave
Portland, OR 97202
Phone (971) 258-1120

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1185926400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1443139200000",
    "number": "1528259884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6035 SE MILWAUKIE AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972025344",
            "telephone_number": "971-258-1120",
            "fax_number": "866-309-2838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6035 SE MILWAUKIE AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972025344",
            "telephone_number": "971-258-1120",
            "fax_number": "866-309-2838"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MERRITT",
        "first_name": "SETH",
        "middle_name": "ALLEN",
        "name_prefix": "Mr.",
        "credential": "FNP, RN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-08-01",
        "last_updated": "2015-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OR",
            "license": "200850079NP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, OR

Sources for this page

Verify at the official NPI Registry.