Individual provider Active NPI

Stephen Benjamin Merritt

  • Family Nurse Practitioner
  • Coachella, CA
National Provider Identifier
1912724774
Registry record updated Apr 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95032301 Issued in CA
Practice address
1293 6TH St
Coachella, CA 92236-1707
Phone
(760) 391-5151
NPI assigned
Sep 23, 2024
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 95032301 CA Primary

Addresses

Primary practice location

1293 6TH St
Coachella, CA 92236-1707

Mailing address

79440 Corporate Center Dr Ste 110
La Quinta, CA 92253-7243
Phone (760) 625-0569

Other practice location 1

151 S Sunrise Way
Palm Springs, CA 92262-0118
Phone (760) 834-3593

Other practice location 2

45280 Seeley Dr
LA Quinta, CA 92253-6834
Phone (760) 834-3593

Other practice location 3

79440 Corporate Center Dr Ste 110
LA Quinta, CA 92253-7243
Phone (760) 625-0569

Other practice location 4

72780 Country Club Dr Ste 203
Rancho Mirage, CA 92270-4150
Phone (760) 834-3593

Other practice location 5

74000 Country Club Dr Ste J1
Palm Desert, CA 92260-1679
Phone (760) 541-5888

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20260504006252 CA Practitioner - Nurse Practitioner 0042723801 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eisenhower Medical CenterGroup PAC ID 5890689657, 462 clinicians

Practice addresses (Care Compare)

151 S Sunrise Way
Palm Springs, CA 92262-0118
Phone (760) 969-7780

39950 Vista del Sol
Rancho Mirage, CA 92270-3206
Phone (760) 340-0053

45280 Seeley Dr
La Quinta, CA 92253-6834
Phone (760) 610-7200

72780 Country Club Dr
Rancho Mirage, CA 92270-4150

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
95032301CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Indio Emergency Medical Group Past Accepting new patients

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.

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": "1727049600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776729600000",
    "number": "1912724774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "79440 CORPORATE CENTER DR STE 110",
            "city": "LA QUINTA",
            "state": "CA",
            "postal_code": "922537243",
            "telephone_number": "760-625-0569"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1293 6TH ST",
            "city": "COACHELLA",
            "state": "CA",
            "postal_code": "922361707",
            "telephone_number": "760-391-5151"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "151 S Sunrise Way",
            "address_purpose": "LOCATION",
            "city": "Palm Springs",
            "state": "CA",
            "postal_code": "922620118",
            "country_code": "US",
            "telephone_number": "760-834-3593",
            "fax_number": "760-969-7781",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "45280 Seeley Dr",
            "address_purpose": "LOCATION",
            "city": "LA Quinta",
            "state": "CA",
            "postal_code": "922536834",
            "country_code": "US",
            "telephone_number": "760-834-3593",
            "fax_number": "760-564-0101",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "79440 Corporate Center Dr Ste 110",
            "address_purpose": "LOCATION",
            "city": "LA Quinta",
            "state": "CA",
            "postal_code": "922537243",
            "country_code": "US",
            "telephone_number": "760-625-0569",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "72780 Country Club Dr Ste 203",
            "address_purpose": "LOCATION",
            "city": "Rancho Mirage",
            "state": "CA",
            "postal_code": "922704150",
            "country_code": "US",
            "telephone_number": "760-834-3593",
            "fax_number": "760-674-3845",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "74000 Country Club Dr Ste J1",
            "address_purpose": "LOCATION",
            "city": "Palm Desert",
            "state": "CA",
            "postal_code": "922601679",
            "country_code": "US",
            "telephone_number": "760-541-5888",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MERRITT",
        "first_name": "STEPHEN",
        "middle_name": "BENJAMIN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-09-23",
        "last_updated": "2026-04-21",
        "certification_date": "2026-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95032301",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coachella, CA

Sources for this page

Verify at the official NPI Registry.