Individual provider Active NPI

Denise Ann Merschman, DNP, C-FNP

  • Family Nurse Practitioner
  • Bemidji, MN
National Provider Identifier
1770206013
Registry record updated Dec 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
9545 Issued in MN
Practice address
705 5TH St NW Ste B
Bemidji, MN 56601-2933
Phone
(218) 333-4735
NPI assigned
Sep 21, 2022
Last updated
Dec 13, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2022

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 9545 MN Primary

Addresses

Primary practice location

705 5TH St NW Ste B
Bemidji, MN 56601-2933

Mailing address

PO Box 5074
Sioux Falls, SD 57117-5074

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
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
I20230206001982 MN Practitioner - Nurse Practitioner 2466824156 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Sanford Health of Northern Minnesota CurrentSince Nov 7, 2022 Accepting new patients
Sanford Health of Northern Minnesota CurrentSince Nov 7, 2022 Accepting new patients
Sanford Health of Northern Minnesota Past Accepting new patients

Locations

705 5th St NW
Ste B
Bemidji, MN 56601
Phone (218) 333-4735

2603 E Broadway Ave
Bismarck, ND 58501
Phone (701) 323-5222

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.

NPI Registry JSON

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

{
    "created_epoch": "1663718400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670889600000",
    "number": "1770206013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5074",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571175074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "705 5TH ST NW STE B",
            "city": "BEMIDJI",
            "state": "MN",
            "postal_code": "566012933",
            "telephone_number": "218-333-4735"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MERSCHMAN",
        "first_name": "DENISE",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "DNP, C-FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-21",
        "last_updated": "2022-12-13",
        "certification_date": "2022-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MN",
            "license": "9545",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bemidji, MN

Sources for this page

Verify at the official NPI Registry.