Individual provider Active NPI

Robert G Merkel, PA-C

  • Physician Assistant
  • Cle Elum, WA
National Provider Identifier
1689620288
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA1004358 Issued in WA
Practice address
201 Alpha Way
Cle Elum, WA 98922-1045
Phone
(509) 674-5331
Fax
(509) 674-5034
NPI assigned
May 25, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 PA1004358 WA Primary

Addresses

Primary practice location

201 Alpha Way
Cle Elum, WA 98922-1045

Mailing address

201 Alpha Way
Cle Elum, WA 98922-1045
Phone (509) 674-5331

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
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
I20051001000029 WA Practitioner - Physician Assistant 8224063953 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

201 Alpha Way
Cle Elum, WA 98922-1045
Phone (509) 674-5331

603 S Chestnut St
Ellensburg, WA 98926-3875
Phone (509) 962-9841

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
80.91 of 100Reported as group
Quality
66.6
Promoting interoperability
100
Improvement activities
40
Cost
69.77

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
216WYMDOccupational Therapy Assistant
PA1004358WAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Kittitas County Public Hosp Dist 1 CurrentSince Jul 1, 2005 Accepting new patients
Kittitas County Public Hospital Dist 1 CurrentSince Jul 1, 2005 Accepting new patients

Locations

201 Alpha Way
Cle Elum, WA 98922
Phone (509) 674-5331

603 S Chestnut St
Ellensburg, WA 98926
Phone (509) 933-8693

Interoperability endpoints

  • Direct secure messaging: rmerkel@kittitasvalleyhealthcare.cernerdirect.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1148515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1689620288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 ALPHA WAY",
            "city": "CLE ELUM",
            "state": "WA",
            "postal_code": "989221045",
            "telephone_number": "509-674-5331",
            "fax_number": "509-674-5034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 ALPHA WAY",
            "city": "CLE ELUM",
            "state": "WA",
            "postal_code": "989221045",
            "telephone_number": "509-674-5331",
            "fax_number": "509-674-5034"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MERKEL",
        "first_name": "ROBERT",
        "middle_name": "G",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-25",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "WA",
            "license": "PA1004358",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cle Elum, WA

Sources for this page

Verify at the official NPI Registry.