Active NPI
Heidy Nicole Merius, N.P.
- Adult Health Nurse Practitioner
- Smithtown, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- 308871
- Practice address
- 240 Middle Country Rd
Suite a
Smithtown, NY 11787 - Phone
- (631) 444-2500
- NPI assigned
- Jun 6, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 649705-1 | NY | |
| Adult Health Nurse Practitioner | 363LA2200X | 308871 | NY | Primary |
Addresses
Primary practice location
240 Middle Country Rd
Suite a
Smithtown, NY 11787
Mailing address
PO Box 1559
Stony Brook, NY 11790-0989
Other practice location 1
240 Middle Country Rd
Suite A
Smithtown, NY 11787
Phone (631) 444-2500
Other names 1
- Ms. Heidy Nicole Thomas
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
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
Practice addresses (Care Compare)
100 Nicolls Rd
Stony Brook, NY 11794-0001
Phone (631) 444-2599
Lauterbur Dr
Stony Brook, NY 11794-0001
Phone (631) 638-1000
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 649705-1 | NY | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Neurology Associates of Stony Brook, University Faculty Practice Corpo | Current | Accepting new patients | |
| Stony Brook Internists, University Faculty Practice Corporation | Past | Accepting new patients |
Locations
4 Smith Haven Mall
Ste 105
Lake Grove, NY 11755
100 Nicolls Rd
Stony Brook, NY 11794
Phone (631) 444-1560
Networks
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H1722
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 and National Provider Directory roles.
-
- Neurology Physician
- Stony Brook, NY
- NPI 1699720888
-
- Medical Oncology Physician
- Stony Brook, NY
- NPI 1184679342
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1433548800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1569801600000",
"number": "1881074615",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1559",
"city": "STONY BROOK",
"state": "NY",
"postal_code": "117900989"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "240 MIDDLE COUNTRY RD",
"address_2": "SUITE A",
"city": "SMITHTOWN",
"state": "NY",
"postal_code": "11787",
"telephone_number": "631-444-2500"
}
],
"practiceLocations": [
{
"address_1": "240 Middle Country Rd",
"address_2": "Suite A",
"address_purpose": "LOCATION",
"city": "Smithtown",
"state": "NY",
"postal_code": "11787",
"country_code": "US",
"telephone_number": "631-444-2500",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MERIUS",
"first_name": "HEIDY",
"middle_name": "NICOLE",
"name_prefix": "Mrs.",
"credential": "N.P.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-06-06",
"last_updated": "2019-09-30",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "NY",
"license": "649705-1",
"primary": false
},
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "NY",
"license": "308871",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "HEIDY",
"last_name": "THOMAS",
"middle_name": "NICOLE",
"prefix": "MS.",
"credential": "R.N.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Smithtown, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2019; 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.