Individual provider Active NPI

John J Merrill-Steskal, M.D.

  • Specialist
  • Ellensburg, WA
National Provider Identifier
1700845609
Registry record updated Mar 23, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
2520900031734 Issued in WA
Practice address
716 E Manitoba Ave
Ellensburg, WA 98926-3842
Phone
(509) 925-3151
NPI assigned
Mar 20, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 2520900031734 WA Primary

Addresses

Primary practice location

716 E Manitoba Ave
Ellensburg, WA 98926-3842

Mailing address

716 E Manitoba Ave
Ellensburg, WA 98926-3842
Phone (509) 925-3151

Other identifiers 1

IdentifierTypeStateIssuer
8155731MedicaidWA

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090919000053 WA Practitioner - Family Practice 5799831574 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Kansas School of Med (KC/Wich/Sal), 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kittitas County Public Hospital Dist 1Group PAC ID 0547179608, 82 clinicians

Practice addresses (Care Compare)

100 E Jackson Ave
Ellensburg, WA 98926-3692
Phone (509) 933-8777

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

  • Kittitas Valley Home Health & Hospice Home health agency, Ellensburg, WA, CCN 507097
  • Kittitas Valley Community Hospital Hospital, Ellensburg, WA, CCN 501333
  • Yakima Valley Memorial Hospital, Yakima, WA, CCN 500036
  • Swedish Issaquah Hospital, Issaquah, WA, CCN 500152
  • Mountain View Post Acute Nursing home, Ellensburg, WA, CCN 505263

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
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
2520900031734WAMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Kittitas County Public Hospital Dist 1 Current Accepting new patients
Kittitas County Public Hospital Dist 1 Specialist CurrentSince May 10, 2009 Accepting new patients
Kittitas County Public Hosp Dist 1 CurrentSince May 10, 2009 Accepting new patients
Kittitas County Public Hospital Dist 1 Current Accepting new patients
Kittitas County Public Hospital Dist 1 Specialist Past Accepting new patients

Locations

100 E Jackson Ave
Ellensburg, WA 98926
Phone (509) 574-6000

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

716 E Manitoba Ave
Ellensburg, WA 98926
Phone (509) 925-3151

Interoperability endpoints

  • Direct secure messaging: jmerrillsteskal@kittitasvalleyhealthcare.cernerdirect.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 5

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": "1142812800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1269302400000",
    "number": "1700845609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "716 E MANITOBA AVE",
            "city": "ELLENSBURG",
            "state": "WA",
            "postal_code": "989263842",
            "telephone_number": "509-925-3151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "716 E MANITOBA AVE",
            "city": "ELLENSBURG",
            "state": "WA",
            "postal_code": "989263842",
            "telephone_number": "509-925-3151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MERRILL-STESKAL",
        "first_name": "JOHN",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-20",
        "last_updated": "2010-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "WA",
            "license": "2520900031734",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8155731",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ellensburg, WA

Sources for this page

Verify at the official NPI Registry.