Individual provider Active NPI

Ethan Jevon Merkel, AGACNP-BC

  • Gerontology Nurse Practitioner
  • Jasper, IN
National Provider Identifier
1861966533
Registry record updated Apr 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
71008754A Issued in IN
Practice address
721 W 13TH St Ste 221
Jasper, IN 47546-1817
Phone
(812) 996-0564
NPI assigned
Jan 16, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X 71008754A IN Primary
Nurse Practitioner 363L00000X 71008754A IN

Addresses

Primary practice location

721 W 13TH St Ste 221
Jasper, IN 47546-1817

Mailing address

PO Box 1028
Jasper, IN 47547-1028
Phone (812) 996-8478

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20190325001225 IN Practitioner - Nurse Practitioner 2466792775 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Deaconess Memorial Medical Center IncGroup PAC ID 4587578042, 140 clinicians
Deaconess Specialty Physicians, IncGroup PAC ID 0244595205, 228 clinicians

Practice addresses (Care Compare)

303 N Meridian St
Holland Family Medicine
Holland, IN 47541-9656
Phone (812) 536-3943

721 W 13TH St
Jasper, IN 47546-1817

721 W 13TH St
Jasper, IN 47546-1855
Phone (812) 996-5671

Hospital & facility affiliations

  • Memorial Hospital and Health Care Center Hospital, Jasper, IN, CCN 150115

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
71008754AINMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Deaconess Memorial Medical Center Inc CurrentSince Mar 1, 2019 Accepting new patients
Deaconess Memorial Medical Center Inc CurrentSince Mar 1, 2019 Accepting new patients
Deaconess Specialty Physicians Inc Nurse Practitioner CurrentSince Dec 29, 2025 Accepting new patients
Deaconess Memorial Medical Center Inc Current Accepting new patients
Deaconess Specialty Physicians Inc Nurse Practitioner CurrentSince Dec 29, 2025 Accepting new patients
Deaconess Specialty Physicians, Inc Nurse Practitioner Past Accepting new patients

Locations

600 Mary St
Evansville, IN 47710
Phone (812) 450-2239

695 2nd St
Ste 2A
Jasper, IN 47546
Phone (812) 996-5950

721 W 13th St
Ste 221
Jasper, IN 47546
Phone (812) 482-2280

800 W 9th St
Jasper, IN 47546
Phone (812) 482-2345

695 2nd St
Ste 1A
Jasper, IN 47546
Phone (812) 996-3550

721 W 13th St
Jasper, IN 47546
Phone (812) 482-4494

Interoperability endpoints

  • Direct secure messaging: emerkel@mhhcc.gwaydirect.com
  • Direct secure messaging: emerkel1047266@direct.deaconess.com

Organizations & group practices 6

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.

Hospital & facility affiliations 1

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": "1547596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775692800000",
    "number": "1861966533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1028",
            "city": "JASPER",
            "state": "IN",
            "postal_code": "475471028",
            "telephone_number": "812-996-8478"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "721 W 13TH ST STE 221",
            "city": "JASPER",
            "state": "IN",
            "postal_code": "475461817",
            "telephone_number": "812-996-0564"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MERKEL",
        "first_name": "ETHAN",
        "middle_name": "JEVON",
        "credential": "AGACNP-BC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-01-16",
        "last_updated": "2026-04-09",
        "certification_date": "2026-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "IN",
            "license": "71008754A",
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IN",
            "license": "71008754A",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jasper, IN

Sources for this page

Verify at the official NPI Registry.