Individual provider Active NPI

Ellen Merrick, MD

  • Obstetrics & Gynecology Physician
  • Newburgh, IN
National Provider Identifier
1598760175
Registry record updated Feb 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
01057619A Issued in IN
Practice address
4199 Gateway Blvd
Suite 2500
Newburgh, IN 47630-8940
Phone
(812) 471-0104
Fax
(812) 476-2383
NPI assigned
Jun 20, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 01057619A IN Primary

Addresses

Primary practice location

4199 Gateway Blvd
Suite 2500
Newburgh, IN 47630-8940

Mailing address

4199 Gateway Blvd
Suite 2500
Newburgh, IN 47630-8940
Phone (812) 471-0045

Other identifiers 1

IdentifierTypeStateIssuer
200443430MedicaidIN

Other names 1

  • Ellen Harpole Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050223000638 IN Practitioner - Obstetrics/Gynecology 2668425265 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
University of Michigan Medical School, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Women'S Health Care, P.C.Group PAC ID 0143114140, 25 clinicians

Practice addresses (Care Compare)

4199 Gateway Blvd
Newburgh, IN 47630-8940

4199 Gateway Blvd
Suite 2500
Newburgh, IN 47630-8968
Phone (812) 471-0045

Hospital & facility affiliations

  • The Women'S Hospital Hospital, Newburgh, IN, CCN 150149
  • Deaconess Hospital Inc Hospital, Evansville, IN, CCN 150082
  • Gibson General Hospital Hospital, Princeton, IN, CCN 151319

Merit-based Incentive Payment System (MIPS)

Final score
89.73 of 100Reported as group
Quality
98.68
Promoting interoperability
100
Improvement activities
40
Cost
67.08

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Gibson General Hospital, Inc CurrentSince Jul 18, 2019 Accepting new patients
Gibson General Hospital, Inc CurrentSince Jul 18, 2019 Accepting new patients
Women'S Health Care, PC Obstetrics & Gynecology Current Accepting new patients
Women'S Health Care, PC Obstetrics & Gynecology CurrentSince Oct 1, 2003 Accepting new patients
Joseph C. Carver M.D. Inc. Obstetrics & Gynecology Past Accepting new patients

Locations

7851 S Professional Dr
Fort Branch, IN 47648
Phone (812) 615-5071

4199 Gateway Blvd
Ste 2500
Newburgh, IN 47630
Phone (812) 471-0045

4199 Gateway Blvd
Ste 2300
Newburgh, IN 47630
Phone (812) 858-4610

1808 Sherman Dr
Ste 2209
Princeton, IN 47670
Phone (812) 385-9420

Interoperability endpoints

  • Direct secure messaging: eharpole32339@direct.deaconess.com

Organizations & group practices 5

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 4

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": "1119225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708560000000",
    "number": "1598760175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4199 GATEWAY BLVD",
            "address_2": "SUITE 2500",
            "city": "NEWBURGH",
            "state": "IN",
            "postal_code": "476308940",
            "telephone_number": "812-471-0045",
            "fax_number": "812-476-2383"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4199 GATEWAY BLVD",
            "address_2": "SUITE 2500",
            "city": "NEWBURGH",
            "state": "IN",
            "postal_code": "476308940",
            "telephone_number": "812-471-0104",
            "fax_number": "812-476-2383"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MERRICK",
        "first_name": "ELLEN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-06-20",
        "last_updated": "2024-02-22",
        "certification_date": "2024-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "IN",
            "license": "01057619A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200443430",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELLEN",
            "last_name": "HARPOLE",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Newburgh, IN

Sources for this page

Verify at the official NPI Registry.