Individual provider Active NPI

Rebecca J Merchiori, APN

  • Psychiatric/Mental Health Nurse Practitioner
  • Olney, IL
National Provider Identifier
1588068464
Registry record updated Aug 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
2021003533 Issued in MO
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

Updated by the provider on Aug 29, 2024

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
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 Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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 Inc 117 clinicians
Touchette Regional Hospital Inc 46 clinicians

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 Hospital, Centreville, IL, CCN 140077

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
209012066ILMDAdult Health Nurse Practitioner
309.007726ILMDGerontology Nurse Practitioner
2017035715MOMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Touchette Regional Hospital Inc CurrentSince Jan 21, 2024 Accepting new patients
Southern Illinois Healthcare Foundation Inc Current Accepting new patients
Chestnut Health Systems Inc. CurrentSince Sep 3, 2019 Accepting new patients
Southern Illinois Healthcare Foundation, Inc CurrentSince Feb 2, 2023 Accepting new patients
Chestnut Health Systems Inc CurrentSince Sep 3, 2019 Accepting new patients
Southern Illinois Healthcare Foundation Inc CurrentSince Feb 2, 2023 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

  • Direct secure messaging: 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.

Hospital & facility affiliations 3

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": "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

Verify at the official NPI Registry.