Individual provider Active NPI

Merry Blevins, FNP-BC

  • Family Nurse Practitioner
  • Rainbow City, AL
National Provider Identifier
1689497661
Registry record updated Nov 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1-108029 Issued in AL
Practice address
3804 Rainbow Dr
Rainbow City, AL 35906-3051
Phone
(256) 952-2200
NPI assigned
Nov 6, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 1-108029 AL Primary

Addresses

Primary practice location

3804 Rainbow Dr
Rainbow City, AL 35906-3051

Mailing address

3804 Rainbow Dr
Rainbow City, AL 35906-3051
Phone (256) 952-2200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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
I20241231001489 AL Practitioner - Nurse Practitioner 4082141122

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

2804 Dr John Haynes Dr
Pell City, AL 35125-1438

Hospital & facility affiliations

  • Gadsden Regional Medical Center Hospital, Gadsden, AL, CCN 010040

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Alabama Anesthesiology and Pain Consultants P.C. CurrentSince Dec 1, 2024 Accepting new patients

Locations

2804 Hospital Dr
Pell City, AL 35125
Phone (205) 338-6655

3804 Rainbow Dr
Rainbow City, AL 35906
Phone (205) 338-6655

Organizations & group practices 1

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 1

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": "1730851200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730851200000",
    "number": "1689497661",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3804 RAINBOW DR",
            "city": "RAINBOW CITY",
            "state": "AL",
            "postal_code": "359063051",
            "telephone_number": "256-952-2200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3804 RAINBOW DR",
            "city": "RAINBOW CITY",
            "state": "AL",
            "postal_code": "359063051",
            "telephone_number": "256-952-2200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLEVINS",
        "first_name": "MERRY",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-11-06",
        "last_updated": "2024-11-06",
        "certification_date": "2024-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1-108029",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rainbow City, AL

Sources for this page

Verify at the official NPI Registry.