John Tanner Meirndorf, APRN-CNP,

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

8161577 Issued in ID

Practice address

2584 N Stokesberry PL
Meridian, ID 83646-1144

Phone

(208) 906-2558

Fax

(833) 973-3618

NPI assigned

Aug 21, 2024

Last updated

Aug 21, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in ID

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

Specialty

Nurse Practitioner

Education

Other, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Hazel Healthcare LLCGroup PAC ID 2163867433, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: john.meirndorf.1@30436.direct.athenahealth.com

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.

• Hazel Healthcare LLC

  • Nurse Practitioner
  • Meridian, ID
  • NPI 1962266403
  Medicare reassignment Care Compare group NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1724198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724198400000",
    "number": "1710710165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2584 N STOKESBERRY PL",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836461144",
            "telephone_number": "208-906-2558",
            "fax_number": "833-973-3618"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2584 N STOKESBERRY PL",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836461144",
            "telephone_number": "208-906-2558",
            "fax_number": "833-973-3618"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEIRNDORF",
        "first_name": "JOHN",
        "middle_name": "TANNER",
        "credential": "APRN-CNP,",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-08-21",
        "last_updated": "2024-08-21",
        "certification_date": "2024-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "ID",
            "license": "8161577",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Megan Elaine LLC (Sage Counseling Meridian)
• Wendy L Meguess, OTR
• Breanna Nichole Mehling, PHARMD
• Marina Mehta
• Svetlana Meier, MD
• Alfredo Mejia, LMSW
• Lisa Melendy, LMSW
• Melinda Kaserman, LLC
• Mary Jane Mello, MS,OTR/L
• Michaela Beth Mello

• Family Nurse Practitioner in Meridian, ID
• Providers in Meridian, ID by specialty
• Family Nurse Practitioner in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.

Verify at the official NPI Registry.