Crista J Merriman, APRN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

2020001232 Issued in MO

Practice address

2432 E Main St
Jackson, MO 63755-2487

Phone

(573) 755-2305

NPI assigned

Jun 2, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MO

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

Specialty

Nurse Practitioner

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Ste Genevieve County Memorial HospitalGroup PAC ID 3274432802, shared by 9 NPIs, 74 clinicians

Immediate Convenient Care LLCGroup PAC ID 0648313486, 23 clinicians

Saint Francis Medical CenterGroup PAC ID 9931007929, 441 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Ste Genevieve County Memorial Hospital Hospital, Sainte Genevieve, MO, CCN 261330
• Saint Francis Medical Center Hospital, Cape Girardeau, MO, CCN 260183

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: cristamerriman@mhccaremail.com

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.

• Saint Francis Medical Center

  dba Saint Francis Medical Center Anesthesia

  • Anesthesiology Physician
  • Cape Girardeau, MO
  • NPI 1356304489
  Medicare reassignment Care Compare group
• Alliance Health and Dermatology, LLC

  • Clinic/Center
  • Cape Girardeau, MO
  • NPI 1952958449
  Medicare reassignment NPD
• Southeast Missouri Hospital Physicians, LLC

  dba Mercy Clinic Southeast

  • Family Medicine Physician
  • Cape Girardeau, MO
  • NPI 1558311522
  Medicare reassignment NPD
• Ste Genevieve County Memorial Hospital

  dba Bloomsdale Family Health Care

  • Rural Health Clinic/Center
  • Bloomsdale, MO
  • NPI 1184658387

  Family Medicine

  Medicare reassignment NPD
• Ste Genevieve County Memorial Hospital

  dba Ste Genevieve Surgical Care

  • Surgery Physician
  • Ste Genevieve, MO
  • NPI 1619026580
  Medicare reassignment NPD
• Signify Health, LLC

  • General Practice Physician
  • Dallas, TX
  • NPI 1689158487

  MO

  Medicare reassignment NPD
• Saint Francis Medical Center

  dba Saint Francis Clinic Cape Girardeau Kingshighway

  • Rural Health Clinic/Center
  • Cape Girardeau, MO
  • NPI 1518372481

  Family Medicine

  NPD
• Saint Francis Medical Center

  dba Saint Francis Clinic Jackson

  • Clinic/Center
  • Jackson, MO
  • NPI 1992502975
  NPD
• Southeast Hospital

  dba Mercy Hospital Southeast

  • General Acute Care Hospital
  • Cape Girardeau, MO
  • NPI 1811006661
  NPD
• Ste Genevieve County Memorial Hospital

  dba Plaza Family Health Care

  • Rural Health Clinic/Center
  • Ste Genevieve, MO
  • NPI 1154871143
  NPD
• Ste. Genevieve County Memorial Hospital

  dba Bloomsdale Specialty Clinic

  • Foot Surgery Podiatrist
  • Bloomsdale, MO
  • NPI 1104692946
  NPD
• Southeast Hospital

  dba Mercy Pharmacy Broadway

  • Community/Retail Pharmacy
  • Cape Girardeau, MO
  • NPI 1336150846
  NPD (past)

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

• Saint Francis Medical Center

  • General Acute Care Hospital
  • Cape Girardeau, MO
  • NPI 1467412726
  Care Compare affiliation
• Saint Francis Medical Center

  • Internal Medicine Physician
  • Cape Girardeau, MO
  • NPI 1578513016

  Hospital

  Care Compare affiliation
• Ste Genevieve County Memorial Hospital

  • Critical Access Hospital
  • Ste Genevieve, MO
  • NPI 1073587655
  Care Compare affiliation

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

{
    "created_epoch": "1622592000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625702400000",
    "number": "1548836190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2432 E MAIN ST",
            "city": "JACKSON",
            "state": "MO",
            "postal_code": "637552487",
            "telephone_number": "573-755-2305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2432 E MAIN ST",
            "city": "JACKSON",
            "state": "MO",
            "postal_code": "637552487",
            "telephone_number": "573-755-2305"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2432 E Main St",
            "address_purpose": "LOCATION",
            "city": "Jackson",
            "state": "MO",
            "postal_code": "637552487",
            "country_code": "US",
            "telephone_number": "573-755-2305",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MERRIMAN",
        "first_name": "CRISTA",
        "middle_name": "J",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-06-02",
        "last_updated": "2021-07-08",
        "certification_date": "2021-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "2020001232",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• McIntosh Spine and Joint, LLC
• Stuart McIntosh, D.C.
• Mediscan, LLC
• Mercy Pharmacy Services, LLC (Mercy Pharmacy Jackson)
• Elizabeth Keith Merideth, M.A. CCC-SLP/L
• Bryn Elizabeth Meyr
• Addison Mae Middleton, FNP
• Molly Miller
• Tori Onita Mincemeyer, RD
• Missouri Delta Medical Center

• Family Nurse Practitioner in Jackson, MO
• Providers in Jackson, MO by specialty
• Family Nurse Practitioner in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.