Merryl Nambiathusseril, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

4704304556 Issued in MI

Practice address

1135 W University Dr Ste 425
Rochester, MI 48307-1897

Phone

(248) 650-5861

NPI assigned

Mar 22, 2021

Last updated

Mar 22, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Merryl Thomas Former name

Electronic endpoints 1

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

Specialty

Nurse Practitioner

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Gilead Pain Care PLLCGroup PAC ID 3678707627, 3 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

98.95 of 100Reported as group

Quality

84.26

Promoting interoperability

100

Improvement activities

40

Cost

78.9

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: mnambiathusseril@direct.meditouchehr.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.

• Gilead Pain Care, PLLC

  • Pain Medicine Physician
  • Clinton Township, MI
  • NPI 1245572247
  Medicare reassignment Care Compare group NPD
• Gilbert Neurological Assoc PLLC

  dba American Institute of Neurological Disorders

  • Neurology Physician
  • Lathrup Village, MI
  • NPI 1376625533
  Medicare reassignment NPD

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

{
    "created_epoch": "1616371200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616371200000",
    "number": "1861078669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1135 W UNIVERSITY DR STE 425",
            "city": "ROCHESTER",
            "state": "MI",
            "postal_code": "483071897",
            "telephone_number": "248-650-5861"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1135 W UNIVERSITY DR STE 425",
            "city": "ROCHESTER",
            "state": "MI",
            "postal_code": "483071897",
            "telephone_number": "248-650-5861"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAMBIATHUSSERIL",
        "first_name": "MERRYL",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-03-22",
        "last_updated": "2021-03-22",
        "certification_date": "2021-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704304556",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1336114537",
            "state": "MI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mnambiathusseril@direct.MediTouchEHR.com",
            "affiliation": "N",
            "endpointDescription": "EHR",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1135 W University Dr Ste 425",
            "city": "Rochester",
            "state": "MI",
            "country_code": "US",
            "postal_code": "483071897",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "MERRYL",
            "last_name": "THOMAS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Brandt Robert Myer, LLMSW
• Tripti Nagar, M.D.
• George-Joseph Nahal
• Noor Naji
• Katia Nakahodo, D.O.
• Namdeo Kale MD PC
• Christina Nardone, LLMSW
• Mohan Navarasala, MD
• Cloe Ann Nazeer
• Douglas Terrence Nefcy, MD

• Family Nurse Practitioner in Rochester, MI
• Providers in Rochester, MI by specialty
• Family Nurse Practitioner in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2021; 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.