NPIMap

Individual provider Active NPI

Morgan F Merrill, MD

  • Family Medicine Physician
  • Sedro Woolley, WA
National Provider Identifier
1538324892
Registry record updated Oct 26, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD60555205 Issued in WA
Practice address
1990 Hospital Dr Ste 200
Sedro Woolley, WA 98284-9315
Phone
(360) 856-8810
Fax
(360) 714-2520
NPI assigned
Jul 25, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2018

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 8105 SD
Family Medicine Physician 207Q00000X TEP5798 NE
Family Medicine Physician 207Q00000X MD60555205 WA Primary

Addresses

Primary practice location

1990 Hospital Dr Ste 200
Sedro Woolley, WA 98284-9315

Mailing address

1115 SE 164TH Ave Dept 358
Vancouver, WA 98683-8004
Phone (360) 729-1462

Other identifiers 1

IdentifierTypeStateIssuer
47055301100MedicaidNE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
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
I20150929001016 WA Practitioner - Family Practice 3173795747 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Nebraska College of Medicine, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Peacehealth Medical Group - Sedro WoolleyGroup PAC ID 1456584036, 55 clinicians

Practice addresses (Care Compare)

1990 Hospital Dr
Sedro Woolley, WA 98284-9315

835 E Fairhaven Ave
Burlington, WA 98233-1916
Phone (360) 755-0641

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
TEP5798NEMDFamily Medicine Physician
MD60555205WAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Peacehealth Medical Group - Sedro Woolley Family Medicine CurrentSince Oct 1, 2018 Accepting new patients
Public Hospital District No 2 Skagit County Washington CurrentSince Sep 2, 2015 Accepting new patients
Public Hospital District No 2 Skagit County Washington CurrentSince Sep 2, 2015 Accepting new patients
Public Hospital District No 2 Skagit County Washington Current Accepting new patients

Locations

2511 M Ave
Ste B
Anacortes, WA 98221
Phone (360) 293-3101

1211 24th St
Anacortes, WA 98221
Phone (360) 293-3181

835 E Fairhaven Ave
Burlington, WA 98233
Phone (360) 755-0641

1990 Hospital Dr
Ste 110
Sedro Woolley, WA 98284
Phone (360) 856-8830

1990 Hospital Dr
Ste 200
Sedro Woolley, WA 98284
Phone (360) 856-4222

1115 SE 164th Ave
Dept 358
Vancouver, WA 98683
Phone (360) 729-1253

Organizations & group practices 4

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.

Hospital & facility affiliations 5

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": "1216944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1540512000000",
    "number": "1538324892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1115 SE 164TH AVE DEPT 358",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986838004",
            "telephone_number": "360-729-1462",
            "fax_number": "360-729-3104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1990 HOSPITAL DR STE 200",
            "city": "SEDRO WOOLLEY",
            "state": "WA",
            "postal_code": "982849315",
            "telephone_number": "360-856-8810",
            "fax_number": "360-714-2520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MERRILL",
        "first_name": "MORGAN",
        "middle_name": "F",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-07-25",
        "last_updated": "2018-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "SD",
            "license": "8105",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NE",
            "license": "TEP5798",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WA",
            "license": "MD60555205",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "47055301100",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sedro Woolley, WA

Sources for this page

Verify at the official NPI Registry.