Tessa Ariel Merrill, AU.D.

Primary specialty

AudiologistTaxonomy code 231H00000X

License

14450 Issued in NC

Practice address

203 Hospital Dr
Suite 200
Glen Burnie, MD 21061

Phone

(410) 760-8840

Fax

(410) 760-8847

NPI assigned

Jul 5, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Tessa Durney Former name

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Specialty

Qualified Audiologist

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

University of North Carolina Hospitals at Chapel HillGroup PAC ID 4486561008, 110 clinicians

Kinston Head and Neck Physicians and Surgeons PAGroup PAC ID 2567541345, 8 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.fhirpoint.open.allscripts.com/fhirroute/open/11398844

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.

• Kinston Head and Neck Physicians and Surgeons, P.a.

  • Otolaryngology Physician
  • Kinston, NC
  • NPI 1801966395
  Medicare reassignment Care Compare group NPD
• University of North Carolina Hospitals at Chapel Hill

  dba UNC Interventional Cardiology Services

  • Interventional Cardiology Physician
  • Chapel Hill, NC
  • NPI 1568070308
  Medicare reassignment Care Compare group NPD
• Eastern Carolina Ear, Nose & Throat-Head & Neck Surgery, Inc

  • Specialist
  • Greenville, NC
  • NPI 1912957606
  Medicare reassignment NPD
• Stinson Mobile Aud NC PLLC

  • Audiologist
  • Rocky Mount, NC
  • NPI 1912472945
  Medicare reassignment NPD
• East Coast Hearing AIDS

  • Audiologist
  • Raleigh, NC
  • NPI 1174232870
  NPD
• University of North Carolina Hospitals at Chapel Hill

  dba UNC Hospitals Specialty Pharmacy

  • Community/Retail Pharmacy
  • Morrisville, NC
  • NPI 1134928542
  NPD
• University of North Carolina Hospitals at Chapel Hill

  dba UNC Audiology Services

  • Audiologist
  • Cary, NC
  • NPI 1184400954
  NPD
• University of North Carolina Hospitals at Chapel Hill

  dba UNC Therapy Services

  • Physical Therapist
  • Chapel Hill, NC
  • NPI 1245633387
  NPD

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

{
    "created_epoch": "1467676800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603238400000",
    "number": "1902258817",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1652 E BOOKER DAIRY RD",
            "city": "SMITHFIELD",
            "state": "NC",
            "postal_code": "275779405",
            "telephone_number": "410-760-8840",
            "fax_number": "410-760-8847"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "203 HOSPITAL DR",
            "address_2": "SUITE 200",
            "city": "GLEN BURNIE",
            "state": "MD",
            "postal_code": "21061",
            "telephone_number": "410-760-8840",
            "fax_number": "410-760-8847"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MERRILL",
        "first_name": "TESSA",
        "middle_name": "ARIEL",
        "name_prefix": "Dr.",
        "credential": "AU.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-07-05",
        "last_updated": "2020-10-21",
        "certification_date": "2020-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "NC",
            "license": "14450",
            "primary": true
        },
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "MD",
            "license": "01390",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "448603000",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TESSA",
            "last_name": "DURNEY",
            "credential": "AU.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Yemesrach Tesfaye Mengesha, MSN, AGNP-C
• Ellen Mensah
• Mental Health Rehabilitation Services
• Tara Meredith, DPT
• Lydwine Merelus, PA
• Morgan Merryman, CRNA
• Michael B. Herr, M.D., P.a.
• Bishoy Emeel Michael, MD
• Meredith Ann Michael, R.N.
• Jane Lenore Miclay, PA-C

• Audiologist in Glen Burnie, MD
• Providers in Glen Burnie, MD by specialty
• Audiologist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.