Individual provider Active NPI

Laura Stansell Merriman, MD

  • Pediatric Urology Physician
  • Anchorage, AK
National Provider Identifier
1902932023
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Urology PhysicianTaxonomy code 2088P0231X
License
7873 Issued in AK
Practice address
3841 Piper St
Suite T300
Anchorage, AK 99508-4624
Phone
(907) 563-3103
Fax
(907) 561-1862
NPI assigned
Feb 25, 2007
Last updated
Mar 7, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X 66423 GA
Pediatric Urology Physician 2088P0231X 066423 GA
Pediatric Urology Physician 2088P0231X 7873 AK Primary

Addresses

Primary practice location

3841 Piper St
Suite T300
Anchorage, AK 99508-4624

Mailing address

3841 Piper St
Suite T300
Anchorage, AK 99508-4624
Phone (907) 563-3103

Other identifiers 1

IdentifierTypeStateIssuer
003123294AMedicaidGA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AK
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130819000533 AK Practitioner - Urology 6709028905 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
Texas Tech University Health Science Center School of Medicine, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Alaska Urology LLCGroup PAC ID 2567351513, 20 clinicians

Practice addresses (Care Compare)

2925 Debarr Rd
Suite 250
Anchorage, AK 99508-2959
Phone (907) 563-3103

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
66423GAMDUrology Physician
7873AKMDPediatric Urology Physician
066423GAMDPediatric Urology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Alaska Urology, LLC Urology CurrentSince Sep 1, 2013 Accepting new patients
Alaska Native Tribal Health Consortium Current Accepting new patients

Locations

2925 Debarr Rd
Ste 250
Anchorage, AK 99508
Phone (907) 563-3103

3841 Piper St
Ste T300
Anchorage, AK 99508
Phone (907) 563-3103

4201 Bartlett St
Ste 201
Homer, AK 99603
Phone (907) 235-0310

Interoperability endpoints

  • FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.441.1110
  • Direct secure messaging: lsmerriman@direct.anthc.org

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1172361600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1902932023",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3841 PIPER ST",
            "address_2": "SUITE T300",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995084624",
            "telephone_number": "907-563-3103",
            "fax_number": "907-561-1862"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3841 PIPER ST",
            "address_2": "SUITE T300",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995084624",
            "telephone_number": "907-563-3103",
            "fax_number": "907-561-1862"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MERRIMAN",
        "first_name": "LAURA",
        "middle_name": "STANSELL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-25",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "GA",
            "license": "66423",
            "primary": false
        },
        {
            "code": "2088P0231X",
            "taxonomy_group": "",
            "desc": "Urology, Pediatric Urology",
            "state": "GA",
            "license": "066423",
            "primary": false
        },
        {
            "code": "2088P0231X",
            "taxonomy_group": "",
            "desc": "Urology, Pediatric Urology",
            "state": "AK",
            "license": "7873",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003123294A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Anchorage, AK

Sources for this page

Verify at the official NPI Registry.