Active NPI
Rebecca J Merchiori, APN
- Psychiatric/Mental Health Nurse Practitioner
- Olney, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 2021003533
- Practice address
- 1120 N East St
Olney, IL 62450-6927 - Phone
- (618) 395-5222
- Fax
- (618) 395-8552
- NPI assigned
- Oct 21, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | 209012066 | IL | |
| Gerontology Nurse Practitioner | 363LG0600X | 309.007726 | IL | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 309.007726 | IL | |
| Gerontology Nurse Practitioner | 363LG0600X | 2017035715 | MO | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 2021003533 | MO | Primary |
Addresses
Primary practice location
1120 N East St
Olney, IL 62450-6927
Mailing address
1400 Lemay Ferry Rd
Saint Louis, MO 63125-2408
Phone (314) 776-7999
Other practice location 1
1400 LeMay Ferry Rd
Saint Louis, MO 63125-2408
Phone (314) 776-7999
Other names 1
- Rebecca Harristhal
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | rebecca.merchiori.1@9559.direct.athenahealth.com | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150127001109 | IL | Practitioner - Nurse Practitioner | 1254655020 | Reassigns benefits to 4 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
- Southern Illinois Healthcare Foundation IncTouchette Regional Hospital Inc
Practice addresses (Care Compare)
1120 N E St
Olney, IL 62450-6927
Phone (618) 395-5222
5900 Bond Ave
Cahokia Heights, IL 62207-2326
Phone (618) 332-3060
Hospital & facility affiliations
- Touchette Regional Hospital Inc
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 209012066 | IL | MD | Adult Health Nurse Practitioner |
| 309.007726 | IL | MD | Gerontology Nurse Practitioner |
| 2017035715 | MO | MD | Gerontology Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Touchette Regional Hospital Inc | Current | Accepting new patients | |
| Southern Illinois Healthcare Foundation Inc | Current | Accepting new patients | |
| Chestnut Health Systems Inc. | Current | Accepting new patients | |
| Southern Illinois Healthcare Foundation, Inc | Current | Accepting new patients | |
| Chestnut Health Systems Inc | Current | Accepting new patients | |
| Southern Illinois Healthcare Foundation Inc | Current | Accepting new patients |
Locations
2 Memorial Dr
Ste 120
Alton, IL 62002
Phone (618) 332-4081
2 Memorial Dr
Ofc
Alton, IL 62002
Phone (618) 332-4081
12 N 64th St
Belleville, IL 62223
Phone (618) 397-0900
180 S 3rd St
Ste 250
Belleville, IL 62220
Phone (618) 213-7964
1003 Martin Luther King Dr
Bloomington, IL 61701
Phone (309) 827-6026
5900 Bond Ave
East Saint Louis, IL 62207
Phone (618) 332-3060
50 Northgate Industrial Dr
Granite City, IL 62040
Phone (618) 512-1919
302 N Mill St
Greenup, IL 62428
Phone (217) 923-3311
1120 N East St
Olney, IL 62450
Phone (618) 395-5222
1200 N East St
Olney, IL 62450
Phone (618) 392-2940
2071 Goose Lake Rd
Sauget, IL 62206
Phone (314) 872-1473
Interoperability endpoints
- rebecca.merchiori.1@9559.direct.athenahealth.com
Organizations & group practices 9
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.
-
- Substance Use Disorder Rehabilitation Clinic/Center
- Bloomington, IL
- NPI 1366431686
IL
-
- Federally Qualified Health Center (FQHC)
- Centreville, IL
- NPI 1609813500
IL
-
- Psychiatric Hospital Unit
- Cahokia Heights, IL
- NPI 1750992459
-
- General Acute Care Hospital
- Cahokia Heights, IL
- NPI 1427111046
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Wood River, IL
- NPI 1235941311
-
- Federally Qualified Health Center (FQHC)
- Waterloo, IL
- NPI 1821813247
-
- Federally Qualified Health Center (FQHC)
- Mattoon, IL
- NPI 1881145357
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Psychiatric Hospital Unit
- Cahokia Heights, IL
- NPI 1750992459
Hospital
-
- Emergency Medicine Physician
- Cahokia Heights, IL
- NPI 1922019926
Hospital
-
- General Acute Care Hospital
- Cahokia Heights, IL
- NPI 1427111046
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1413849600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1724889600000",
"number": "1588068464",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1400 LEMAY FERRY RD",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631252408",
"telephone_number": "314-776-7999",
"fax_number": "314-772-2257"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1120 N EAST ST",
"city": "OLNEY",
"state": "IL",
"postal_code": "624506927",
"telephone_number": "618-395-5222",
"fax_number": "618-395-8552"
}
],
"practiceLocations": [
{
"address_1": "1400 LeMay Ferry Rd",
"address_purpose": "LOCATION",
"city": "Saint Louis",
"state": "MO",
"postal_code": "631252408",
"country_code": "US",
"telephone_number": "314-776-7999",
"fax_number": "314-772-2257",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MERCHIORI",
"first_name": "REBECCA",
"middle_name": "J",
"credential": "APN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-10-21",
"last_updated": "2024-08-29",
"certification_date": "2024-08-29",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "IL",
"license": "209012066",
"primary": false
},
{
"code": "363LG0600X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Gerontology",
"state": "IL",
"license": "309.007726",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "IL",
"license": "309.007726",
"primary": false
},
{
"code": "363LG0600X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Gerontology",
"state": "MO",
"license": "2017035715",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "MO",
"license": "2021003533",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "rebecca.merchiori.1@9559.direct.athenahealth.com",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "CCD",
"address_1": "1200 N East St",
"city": "Olney",
"state": "IL",
"country_code": "US",
"postal_code": "624502432",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "REBECCA",
"last_name": "HARRISTHAL",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Olney, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2024; 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.