Gwendolyn Merchant, CRNP-PMH

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

R263556 Issued in MD

Practice address

1662 Village GRN Ste 100
Crofton, MD 21114-2014

Phone

(410) 757-2077

NPI assigned

Sep 2, 2011

Last updated

Mar 12, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 6

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in PA, MD2 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

Specialty

Nurse Practitioner

Education

Other, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Arundel Mental Health Professionals LCGroup PAC ID 4981688173, 118 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: lifestancehealth.gwendolynmerchant@149037.advancedmd-direct.com

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.

• Arundel Mental Health Professionals L.C.

  dba LifeStance Health

  • Clinical Psychologist
  • Arnold, MD
  • NPI 1073649521
  Medicare reassignment Care Compare group NPD
• Ahpaffs,LLC

  • Urgent Care Clinic/Center
  • Philadelphia, PA
  • NPI 1275985814
  Medicare reassignment NPD
• Osh - PA Physicians Group, PC

  • Primary Care Clinic/Center
  • Philadelphia, PA
  • NPI 1811405533

  Nurse Practitioner

  Medicare reassignment NPD
• Regional Womens Health Group LLC

  dba Axia Women's Health

  • Obstetrics & Gynecology Physician
  • Phoenixville, PA
  • NPI 1750880118
  Medicare reassignment NPD
• Arundel Mental Health Professionals LLC

  • Clinical Psychologist
  • Crofton, MD
  • NPI 1497481246
  NPD
• Linq Care Inc

  • Adult Psychiatric/Mental Health Clinical Nurse Specialist
  • Naperville, IL
  • NPI 1710519335
  NPD (past)
• Professional Anesthesia Services of North America P.C.

  • Anesthesiology Physician
  • Bethlehem, PA
  • NPI 1972994820
  NPD (past)
• Regional Women's Health Group, LLC

  dba Axia Women's Health

  • Obstetrics & Gynecology Physician
  • Voorhees, NJ
  • NPI 1548215536

  Nurse Practitioner

  NPD (past)
• Womens Health Care Group of Pennsylvania LLC

  • Obstetrics & Gynecology Physician
  • Oaks, PA
  • NPI 1437191608
  NPD (past)

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

{
    "created_epoch": "1314921600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741737600000",
    "number": "1578844601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1662 VILLAGE GRN STE 100",
            "city": "CROFTON",
            "state": "MD",
            "postal_code": "211142014",
            "telephone_number": "410-757-2077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1662 VILLAGE GRN STE 100",
            "city": "CROFTON",
            "state": "MD",
            "postal_code": "211142014",
            "telephone_number": "410-757-2077"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4607 Library Road Suite 220",
            "address_2": "#419",
            "address_purpose": "LOCATION",
            "city": "Bethel Park",
            "state": "PA",
            "postal_code": "15102",
            "country_code": "US",
            "telephone_number": "800-525-9202",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MERCHANT",
        "first_name": "GWENDOLYN",
        "credential": "CRNP-PMH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-09-02",
        "last_updated": "2025-03-12",
        "certification_date": "2025-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "PA",
            "license": "RN578488",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "PA",
            "license": "SP011515",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP011515",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "PA",
            "license": "SPO27315",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "PA",
            "license": "SP011515",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MD",
            "license": "R263556",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "232212638",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Medicacy LLC (Healing TOuch Pharmacy 10)
• Medstar Medical Group - Southern Maryland LLC (MedStar Shah Medical Group LLC)
• Virginia Meehan
• Ashu P Mehta, MD
• Michelle Lynn Mekolon, PHARM D
• Mercy Cares Counseling Services, LLC
• Julia Yan Merritt
• Brittany Metzger, DPT
• Emory Ross Meyer, D.D.S.
• Virginia Middleton, OTR/L

• Psychiatric/Mental Health Nurse Practitioner in Crofton, MD
• Providers in Crofton, MD by specialty
• Psychiatric/Mental Health Nurse Practitioner in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2025; 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.