Kimberly Ann Merrill, PA-C, MPH, MMS

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

1313 Issued in NH

Practice address

300 Birnie Ave Ste 201
Springfield, MA 01107-1121

Phone

(413) 785-4666

Fax

(413) 846-4756

NPI assigned

Oct 5, 2017

Sex

Female

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 MA, CT2 enrollments

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 2

Specialty

Physician Assistant

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Orthopedic Associates of Hartford,PCGroup PAC ID 1850382409, 95 clinicians

Ortho Ma LLCGroup PAC ID 8729515507, 16 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kimberly.merrill@xdr.hhchealthdirect.org

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.

• Orthopedic Associates of Hartford,PC

  • Orthopaedic Surgery Physician
  • Hartford, CT
  • NPI 1972500304
  Medicare reassignment Care Compare group NPD (past)
• Ortho Ma LLC

  • Physician Assistant
  • Longmeadow, MA
  • NPI 1730913773
  Medicare reassignment Care Compare group
• New England Orthopedic Surgeons

  • Orthopaedic Surgery Physician
  • Springfield, MA
  • NPI 1760416630

  Physician Assistant

  Medicare reassignment NPD
• Orthopedic Associates of Hartford,PC

  • Durable Medical Equipment & Medical Supplies
  • Enfield, CT
  • NPI 1235922584
  NPD
• Orthopedic Associates of Hartford,PC

  • Orthopaedic Surgery Physician
  • Glastonbury, CT
  • NPI 1659488815
  NPD
• WRK Ventures, LLC

  • Urgent Care Clinic/Center
  • Southbury, CT
  • NPI 1194993980
  NPD (past)

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

{
    "created_epoch": "1507161600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603670400000",
    "number": "1801306758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 BIRNIE AVE STE 201",
            "city": "SPRINGFIELD",
            "state": "MA",
            "postal_code": "011071121",
            "telephone_number": "413-785-4666",
            "fax_number": "413-846-4756"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 BIRNIE AVE STE 201",
            "city": "SPRINGFIELD",
            "state": "MA",
            "postal_code": "011071121",
            "telephone_number": "413-785-4666",
            "fax_number": "413-846-4756"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MERRILL",
        "first_name": "KIMBERLY",
        "middle_name": "ANN",
        "credential": "PA-C, MPH, MMS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-10-05",
        "last_updated": "2020-10-26",
        "certification_date": "2020-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NH",
            "license": "1313",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mercy Specialist Physicians Inc
• Flannery L Merideth, MD
• David Bennet Mernoff, M.D.
• Rachel Heather Merriam, M.ED., CRC
• Alyssa Merrick, LMSW
• Mathew Merritt, PA-C
• Wilson C Mertens, M.D.
• Jennifer Merullo
• Nessa Salar Meshkaty, M.D.
• Cheryl Lynne Messer-Lusty

• Physician Assistant in Springfield, MA
• Providers in Springfield, MA by specialty
• Physician Assistant in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2020; 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.