Individual provider Active NPI

Heather Nicole Merveldt, FNP-BC, RN

  • Nurse Practitioner
  • Richland, MI
National Provider Identifier
1780221010
Registry record updated Dec 5, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
4704317382 Issued in MI
Practice address
8450 N 32ND St
Richland, MI 49083-9418
Phone
(269) 552-2500
NPI assigned
Dec 5, 2019
Last updated
Dec 5, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 4704317382 MI Primary

Addresses

Primary practice location

8450 N 32ND St
Richland, MI 49083-9418

Mailing address

144 Fairway Dr
Battle Creek, MI 49015-7905
Phone (405) 830-1186

Other practice location 1

6565 W Main St
Kalamazoo, MI 49009-6114
Phone (269) 375-0400

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Heather.Merveldt@ascension.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20200602002322 MI Practitioner - Nurse Practitioner 7113348954 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Ascension Medical Group PromedGroup PAC ID 7315856077, 255 clinicians

Practice addresses (Care Compare)

6565 W Main St
Kalamazoo, MI 49009-6114
Phone (269) 381-7380

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner, Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Promed Healthcare CurrentSince Mar 1, 2020 Accepting new patients
Beacon Medical Group Michigan Inc CurrentSince Mar 1, 2020 Accepting new patients

Locations

1717 Shaffer St
Ste 002
Kalamazoo, MI 49048

6565 W Main St
Kalamazoo, MI 49009
Phone (269) 375-0400

7901 Angling Rd
Portage, MI 49024
Phone (269) 324-8405

8450 N 32nd St
Richland, MI 49083
Phone (269) 226-2500

Interoperability endpoints

  • Direct secure messaging: heather.merveldt@ascension.org

Organizations & group practices 2

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": "1575504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1575504000000",
    "number": "1780221010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "144 FAIRWAY DR",
            "city": "BATTLE CREEK",
            "state": "MI",
            "postal_code": "490157905",
            "telephone_number": "405-830-1186"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8450 N 32ND ST",
            "city": "RICHLAND",
            "state": "MI",
            "postal_code": "490839418",
            "telephone_number": "269-552-2500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6565 W Main St",
            "address_purpose": "LOCATION",
            "city": "Kalamazoo",
            "state": "MI",
            "postal_code": "490096114",
            "country_code": "US",
            "telephone_number": "269-375-0400",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MERVELDT",
        "first_name": "HEATHER",
        "middle_name": "NICOLE",
        "credential": "FNP-BC, RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-12-05",
        "last_updated": "2019-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MI",
            "license": "4704317382",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Heather.Merveldt@ascension.org",
            "affiliation": "N",
            "endpointDescription": "Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "NA",
            "address_1": "8450 N 32nd St",
            "city": "Richland",
            "state": "MI",
            "country_code": "US",
            "postal_code": "490839418",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Richland, MI

Sources for this page

Verify at the official NPI Registry.