Individual provider Active NPI

Lakyn Allison Merrifield, PA-C

  • Physician Assistant
  • Marietta, OH
National Provider Identifier
1609145242
Registry record updated Apr 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
50.003487 Issued in OH
Practice address
400 Matthew St
Suite 302
Marietta, OH 45750-1644
Phone
(740) 568-5207
Fax
(740) 568-5297
NPI assigned
Dec 28, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 18, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 50.003487 OH Primary

Addresses

Primary practice location

400 Matthew St
Suite 302
Marietta, OH 45750-1644

Mailing address

PO Box 449
Marietta, OH 45750-0449
Phone (740) 374-4500

Other identifiers 3

IdentifierTypeStateIssuer
1092670OtherOHNCCPA CERTIFICATION NUMBER
P01534303OtherOHRAILROAD MEDICARE - MHCPI
0073178MedicaidOH

Other names 1

  • Lakyn Lucas Former name

Electronic endpoints 3

TypeEndpointUseAffiliation
Direct Messaging Address lmerrifield143814@direct.wvuhsdirect.com Health Information Exchange (HIE)
Direct Messaging Address lmerrifield143814@direct.wvuhsdirect.com Health Information Exchange (HIE)
Direct Messaging Address lmerrifield143814@direct.wvuhsdirect.com Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV
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
I20120718000290 WV Practitioner - Physician Assistant 1052571866 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

1 Medical Ctr Dr
Morgantown, WV 26506-1200
Phone (304) 598-4865

100 Paducah Dr
Suite B
New Martinsville, WV 26155-2710
Phone (304) 815-0050

1001 Sushruta Dr
Martinsburg, WV 25401-8876
Phone (304) 598-5038

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
95.34 of 100Reported as apm
Quality
79.86
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
50.003487OHMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Wvu Medical Corporation Physician Assistant CurrentSince Jan 11, 2020 Accepting new patients
Wetzel County Hospital, Inc. CurrentSince Jun 1, 2023 Accepting new patients
West Virginia University Medical Corporation CurrentSince Jan 11, 2020 Accepting new patients
Valley Gastroenterology & Endoscopy PastSince Nov 9, 2021 Accepting new patients

Locations

401 Matthew St
Marietta, OH 45750
Phone (740) 374-1400

426 8th St
Ste 105
Glen Dale, WV 26038
Phone (304) 843-3221

1 Medical Center Dr
Morgantown, WV 26506
Phone (304) 293-4500

100 Paducah Dr
#B
New Martinsville, WV 26155
Phone (304) 447-2075

100 Paducah Dr
New Martinsville, WV 26155
Phone (304) 455-3611

3 E Benjamin Dr
North Martinsvlle, WV 26155
Phone (304) 455-8000

Interoperability endpoints

  • Direct secure messaging: lmerrifield143814@direct.wvuhsdirect.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 2

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": "1325030400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650240000000",
    "number": "1609145242",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 449",
            "city": "MARIETTA",
            "state": "OH",
            "postal_code": "457500449",
            "telephone_number": "740-374-4500",
            "fax_number": "740-374-5887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 MATTHEW ST",
            "address_2": "SUITE 302",
            "city": "MARIETTA",
            "state": "OH",
            "postal_code": "457501644",
            "telephone_number": "740-568-5207",
            "fax_number": "740-568-5297"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MERRIFIELD",
        "first_name": "LAKYN",
        "middle_name": "ALLISON",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-12-28",
        "last_updated": "2022-04-18",
        "certification_date": "2022-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OH",
            "license": "50.003487",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCCPA CERTIFICATION NUMBER",
            "identifier": "1092670",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE - MHCPI",
            "identifier": "P01534303",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0073178",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lmerrifield143814@direct.wvuhsdirect.com",
            "affiliation": "N",
            "endpointDescription": "Direct Address",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "100 Paducah Dr Ste B",
            "city": "New Martinsville",
            "state": "WV",
            "country_code": "US",
            "postal_code": "261552710",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lmerrifield143814@direct.wvuhsdirect.com",
            "affiliation": "N",
            "endpointDescription": "Direct Address",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "100 Paducah Dr Ste B",
            "city": "New Martinsville",
            "state": "WV",
            "country_code": "US",
            "postal_code": "261552710",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lmerrifield143814@direct.wvuhsdirect.com",
            "affiliation": "N",
            "endpointDescription": "Direct Address",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "100 Paducah Dr",
            "city": "New Martinsville",
            "state": "WV",
            "country_code": "US",
            "postal_code": "261552710",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "LAKYN",
            "last_name": "LUCAS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Marietta, OH

Sources for this page

Verify at the official NPI Registry.