Individual provider Active NPI

Joshua D. Merriman, FNP

  • Family Nurse Practitioner
  • Rogers, AR
National Provider Identifier
1558779710
Registry record updated Mar 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
2005022684 Issued in MO
Practice address
5300 S Southern Hills CT Ste 200
Rogers, AR 72758-3500
Phone
(479) 636-1324
Fax
(479) 631-0014
NPI assigned
Jul 31, 2014
Last updated
Mar 26, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2025

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 2005022684 MO Primary

Addresses

Primary practice location

5300 S Southern Hills CT Ste 200
Rogers, AR 72758-3500

Mailing address

5300 S Southern Hills CT Ste 200
Rogers, AR 72758-3500
Phone (479) 636-1324

Other practice location 1

125 Main St
Noel, MO 64854-9124
Phone (417) 475-6151

Other practice location 2

109 N Broadway St
South West City, MO 64863-9417
Phone (417) 762-3287

Other practice location 3

92 Main St
Cassville, MO 65625-1610
Phone (417) 847-5225

Other identifiers 1

IdentifierTypeStateIssuer
PENDINGMedicaidMO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, AR2 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
I20141002002055 MO Practitioner - Nurse Practitioner 7012137631 Reassigns benefits to 3 organizations
I20180907001742 AR Practitioner - Nurse Practitioner 7012137631 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Premier Family Health Care LLCGroup PAC ID 8820535545, 7 clinicians

Practice addresses (Care Compare)

310 N Progress Ave
Siloam Springs, AR 72761-4093
Phone (478) 225-5429

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2005022684MOMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Sgoh Acquisition Inc CurrentSince Aug 1, 2024 Accepting new patients
Mercy Northwest Arkansas Ambulatory Services LLC CurrentSince Sep 1, 2024 Accepting new patients
Premier Family Health Care LLC CurrentSince Dec 1, 2025 Accepting new patients
Signify Health, LLC CurrentSince Aug 4, 2024 Accepting new patients
Sgoh Acquisition Inc CurrentSince Aug 1, 2024 Accepting new patients
Signify Health Medical Associates, PLLC CurrentSince Nov 18, 2022 Accepting new patients
Morter Health Corner CurrentSince Mar 30, 2025 Accepting new patients
Mercy Southern Missouri Ambulatory Services LLC CurrentSince Sep 2, 2024 Accepting new patients
WH Ar Medical PLLC Past Accepting new patients
Mercy Health Northwest Arkansas Communities PastSince Sep 1, 2024 Accepting new patients
Premier Family Health Care, a Professional Corporation Past Accepting new patients
Lincoln County Hospital Past Accepting new patients

Locations

3493 Bella Vista Way
Bella Vista, AR 72714
Phone (479) 265-3712

1101 Jackson St SW
Gravette, AR 72736
Phone (479) 787-5221

2012 S Promenade Blvd
Rogers, AR 72758
Phone (479) 616-1485

5300 S Southern Hills Ct
#200
Rogers, AR 72758
Phone (479) 636-1324

310 N Progress Ave
Siloam Springs, AR 72761
Phone (478) 225-5429

310 N Progress Ave
#14
Siloam Springs, AR 72761

1160 S 40th St
Springdale, AR 72762
Phone (479) 750-2971

2300 Main St
Fl 9
Kansas City, MO 64108
Phone (800) 416-1767

106 S Hickory St
Mount Vernon, MO 65712
Phone (417) 466-4110

125 Main St
Noel, MO 64854
Phone (417) 475-6151

109 N Broadway St
South West Cy, MO 64863
Phone (417) 752-3287

2150 W Republic Rd
Ste 112
Springfield, MO 65807
Phone (417) 986-1291

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/25086/brand/1/csg/1/fhir/r4
  • Direct secure messaging: jmerriman494010@directb.mercy.net

Organizations & group practices 12

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.

NPI Registry JSON

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

{
    "created_epoch": "1406764800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742947200000",
    "number": "1558779710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5300 S SOUTHERN HILLS CT STE 200",
            "city": "ROGERS",
            "state": "AR",
            "postal_code": "727583500",
            "telephone_number": "479-636-1324",
            "fax_number": "479-631-0014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5300 S SOUTHERN HILLS CT STE 200",
            "city": "ROGERS",
            "state": "AR",
            "postal_code": "727583500",
            "telephone_number": "479-636-1324",
            "fax_number": "479-631-0014"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "125 Main St",
            "address_purpose": "LOCATION",
            "city": "Noel",
            "state": "MO",
            "postal_code": "648549124",
            "country_code": "US",
            "telephone_number": "417-475-6151",
            "fax_number": "417-475-6559",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "109 N Broadway St",
            "address_purpose": "LOCATION",
            "city": "South West City",
            "state": "MO",
            "postal_code": "648639417",
            "country_code": "US",
            "telephone_number": "417-762-3287",
            "fax_number": "417-762-3255",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "92 Main St",
            "address_purpose": "LOCATION",
            "city": "Cassville",
            "state": "MO",
            "postal_code": "656251610",
            "country_code": "US",
            "telephone_number": "417-847-5225",
            "fax_number": "417-847-5425",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MERRIMAN",
        "first_name": "JOSHUA",
        "middle_name": "D.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-07-31",
        "last_updated": "2025-03-26",
        "certification_date": "2025-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "2005022684",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PENDING",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rogers, AR

Sources for this page

Verify at the official NPI Registry.