Active NPI
Ivy Lee Merriman, CRNA
- Certified Registered Nurse Anesthetist
- Tallahassee, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 11001028
- Practice address
- 1300 Miccosukee Rd
Tallahassee, FL 32308-5054 - Phone
- (850) 431-1155
- NPI assigned
- Sep 19, 2018
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Certified Registered Nurse Anesthetist | 367500000X | 11001028 | FL | Primary |
Addresses
Primary practice location
1300 Miccosukee Rd
Tallahassee, FL 32308-5054
Mailing address
2832 Crestline Rd
Tallahassee, FL 32308-5081
Phone (229) 254-0732
Other practice location 1
2824 Mahan Dr Ste 1
Tallahassee, FL 32308-5429
Phone (850) 558-1260
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2807 Capital Medical Blvd
Suite 2
Tallahassee, FL 32308-8420
Phone (850) 402-4107
2824 Mahan Dr
Suite 2
Tallahassee, FL 32308-5429
Phone (850) 558-1270
Merit-based Incentive Payment System (MIPS)
- Final score
- 84.5 of 100
- Quality
- 69.32
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 72.03
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11001028 | FL | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advanced Surgery Center of Tallahassee, LLC | Current | Accepting new patients | |
| Tenet Florida Physician Services LLC | Current | Accepting new patients | |
| Anesthetic Solutions of Florida, LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Anesthesiology Associates of Tallahassee Inc | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Tenet Florida Physician Services, LLC | Current | Accepting new patients | |
| Tallahassee Neurological Clinic | Current | Accepting new patients | |
| Anesthesiology Associates of Tallahassee Inc | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Advanced Surgery Center of Tallahassee, LLC | Current | Accepting new patients | |
| Hospital Authority of the City of Bainbridge and Decatur County | Past | Accepting new patients | |
| Tallahassee Neurosugery Pain Management LLC | Past | Accepting new patients | |
| Anesthesiology Associates of Tallahassee Inc | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
Locations
8825 Perimeter Park Blvd
Ste 102
Jacksonville, FL 32216
Phone (904) 399-4004
2173 Centerville Pl
Ste A
Tallahassee, FL 32308
2535 Capital Medical Blvd
Ste 101
Tallahassee, FL 32308
Phone (448) 230-2311
2452 Mahan Dr
Ste 102
Tallahassee, FL 32308
Phone (850) 325-6500
2807 Capital Medical Blvd
Ste 2
Tallahassee, FL 32308
Phone (850) 402-4107
2824 Mahan Dr
Ste 2
Tallahassee, FL 32308
Phone (850) 558-1270
2626 Capital Medical Blvd
Tallahassee, FL 32308
Phone (850) 325-5000
2629 Welaunee Blvd
Tallahassee, FL 32308
Phone (850) 877-4688
2824 Mahan Dr
Tallahassee, FL 32308
Phone (617) 981-2655
2824 Mahan Dr
Ste 1
Tallahassee, FL 32308
Phone (850) 558-1260
1401 Centerville Rd
Ste 300
Tallahassee, FL 32308
Phone (850) 877-5115
1300 Miccosukee Rd
Tallahassee, FL 32308
Phone (850) 431-1155
1411 N Flagler Dr
Ste 8000
West Palm Beach, FL 33401
Phone (561) 650-6231
400 10th St E
Waconia, MN 55387
Organizations & group practices 11
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.
-
- Neurological Surgery Physician
- Tallahassee, FL
- NPI 1982660569
-
- Surgery Physician
- West Palm Beach, FL
- NPI 1659417467
-
- Ambulatory Surgical Clinic/Center
- Tallahassee, FL
- NPI 1205658754
-
- Anesthesiology Physician
- Tallahassee, FL
- NPI 1578415691
-
- Anesthesiology Physician
- Tallahassee, FL
- NPI 1922772037
Nurse Anesthetist, Certified Registered
-
- Certified Registered Nurse Anesthetist
- Tallahassee, FL
- NPI 1114567260
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Tallahassee, FL
- NPI 1689348799
Nurse Anesthetist, Certified Registered
-
- Physical Therapist
- West Palm Beach, FL
- NPI 1699111211
-
- Anesthesiology Physician
- Tallahassee, FL
- NPI 1831171990
Nurse Anesthetist, Certified Registered
-
- Ambulatory Surgical Clinic/Center
- Tallahassee, FL
- NPI 1396702528
-
- Multi-Specialty Clinic/Center
- Bainbridge, GA
- NPI 1053388256
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1537315200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1628726400000",
"number": "1649754375",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2832 CRESTLINE RD",
"city": "TALLAHASSEE",
"state": "FL",
"postal_code": "323085081",
"telephone_number": "229-254-0732"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1300 MICCOSUKEE RD",
"city": "TALLAHASSEE",
"state": "FL",
"postal_code": "323085054",
"telephone_number": "850-431-1155"
}
],
"practiceLocations": [
{
"address_1": "2824 Mahan Dr Ste 1",
"address_purpose": "LOCATION",
"city": "Tallahassee",
"state": "FL",
"postal_code": "323085429",
"country_code": "US",
"telephone_number": "850-558-1260",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MERRIMAN",
"first_name": "IVY",
"middle_name": "LEE",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-09-19",
"last_updated": "2021-08-12",
"certification_date": "2021-08-12",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "FL",
"license": "11001028",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tallahassee, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.