Active NPI
Janquilyn Driver Merida, DNP
- Nurse Practitioner
- Corsicana, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 654264
- Practice address
- 618 N Main St
Corsicana, TX 75110-3028 - Phone
- (903) 872-2151
- Fax
- (903) 872-0126
- NPI assigned
- Mar 19, 2007
- Last updated
- Apr 18, 2022
- 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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 654264 | TX | Primary |
| Family Nurse Practitioner | 363LF0000X | F0402043 | TX |
Addresses
Primary practice location
618 N Main St
Corsicana, TX 75110-3028
Mailing address
PO Box 518
Corsicana, TX 75151-0518
Phone (903) 872-2151
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00Y226 | Other | TX | MEDICARE GROUP |
| DG9311 | Other | TX | RAILROAD MEDICARE GROUP |
| 005691305 | Medicaid | TX | |
| P0046391 | Other | TX | RAILROAD MEDICARE |
Other names 1
- Janquilyn I Driver
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
618 N Main St
Corsicana, TX 75110-3028
Phone (903) 874-6731
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| F0402043 | TX | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Navarro County Ambulatory Care Association | Current | Accepting new patients | |
| Corsicana-Navarro County Public Health District | Current | Accepting new patients | |
| Medical and Surgical Associates of Corsicana PLLC | Nurse Practitioner | Past | Accepting new patients |
Locations
618 N Main St
Corsicana, TX 75110
Phone (903) 874-6711
Interoperability endpoints
- janquilyn.merida.1@29197.direct.athenahealth.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.
-
dba Dr Kent E. Rogers Clinic
- Federally Qualified Health Center (FQHC)
- Corsicana, TX
- NPI 1124782875
-
- State or Local Public Health Clinic/Center
- Corsicana, TX
- NPI 1164467742
-
- Surgery Physician
- Corsicana, TX
- NPI 1730379900
Nurse Practitioner
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Navarro Regional Hospital
- General Acute Care Hospital
- Corsicana, TX
- NPI 1144274226
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174262400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1650240000000",
"number": "1740304427",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 518",
"city": "CORSICANA",
"state": "TX",
"postal_code": "751510518",
"telephone_number": "903-872-2151",
"fax_number": "903-872-0126"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "618 N MAIN ST",
"city": "CORSICANA",
"state": "TX",
"postal_code": "751103028",
"telephone_number": "903-872-2151",
"fax_number": "903-872-0126"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MERIDA",
"first_name": "JANQUILYN",
"middle_name": "DRIVER",
"credential": "DNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-19",
"last_updated": "2022-04-18",
"certification_date": "2022-04-18",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "TX",
"license": "654264",
"primary": true
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "TX",
"license": "F0402043",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE GROUP",
"identifier": "00Y226",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE GROUP",
"identifier": "DG9311",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "005691305",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P0046391",
"state": "TX"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "JANQUILYN",
"last_name": "DRIVER",
"middle_name": "I",
"credential": "NP",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Corsicana, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2022; 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.