Active NPI
Shannon R Merk, ARNP AGNP-C
- Adult Health Nurse Practitioner
- Sioux City, IA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- H107028
- Practice address
- 2720 Stone Park Blvd
Sioux City, IA 51104-3734 - Phone
- (712) 279-3500
- NPI assigned
- Aug 7, 2019
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | H107028 | IA | |
| Gerontology Nurse Practitioner | 363LG0600X | H107028 | IA | |
| Primary Care Nurse Practitioner | 363LP2300X | H107028 | IA | |
| Adult Health Nurse Practitioner | 363LA2200X | H107028 | IA | Primary |
Addresses
Primary practice location
2720 Stone Park Blvd
Sioux City, IA 51104-3734
Mailing address
2720 Stone Park Blvd
Sioux City, IA 51104-3734
Phone (712) 279-3500
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20191021002966 | IA | Practitioner - Nurse Practitioner | 7618209842 | Reassigns benefits to 1 organization |
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
- Northwest Iowa Hospital Corporation
Practice addresses (Care Compare)
2720 Stone Park Blvd
Sioux City, IA 51104-3734
Phone (712) 279-3500
Hospital & facility affiliations
- St Lukes Regional Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 78.74 of 100
- Quality
- 76.47
- Promoting interoperability
- 77
- Improvement activities
- 40
- Cost
- 71.84
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| H107028 | IA | MD | Primary Care Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northwest Iowa Hospital Corporation | Nurse Practitioner | Current | Accepting new patients |
| St Luke'S Methodist Hospital | Current | Accepting new patients | |
| Northwest Iowa Hospital Corporation | Past | Accepting new patients |
Locations
2720 Stone Park Blvd
Sioux City, IA 51104
Phone (712) 259-3000
801 5th St
Sioux City, IA 51101
Phone (712) 279-2010
Interoperability endpoints
- smerk133239@direct.unitypoint.org
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.
-
- Emergency Medical Services (Emergency Medicine) Physician
- Sioux City, IA
- NPI 1215962550
IA, Nurse Practitioner
-
- General Acute Care Hospital
- Sioux City, IA
- NPI 1962594622
-
- Skilled Nursing Facility
- Sioux City, IA
- NPI 1194610253
-
- Rehabilitation Hospital Unit
- Sioux City, IA
- NPI 1770675431
-
- Clinical Medical Laboratory
- Dakota Dunes, SD
- NPI 1528950243
-
- General Acute Care Hospital
- Cedar Rapids, IA
- NPI 1083708226
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Sioux City, IA
- NPI 1962594622
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1565136000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1565136000000",
"number": "1962057935",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2720 STONE PARK BLVD",
"city": "SIOUX CITY",
"state": "IA",
"postal_code": "511043734",
"telephone_number": "712-279-3500"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2720 STONE PARK BLVD",
"city": "SIOUX CITY",
"state": "IA",
"postal_code": "511043734",
"telephone_number": "712-279-3500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MERK",
"first_name": "SHANNON",
"middle_name": "R",
"credential": "ARNP AGNP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-08-07",
"last_updated": "2019-08-07",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "IA",
"license": "H107028",
"primary": false
},
{
"code": "363LG0600X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Gerontology",
"state": "IA",
"license": "H107028",
"primary": false
},
{
"code": "363LP2300X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Primary Care",
"state": "IA",
"license": "H107028",
"primary": false
},
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "IA",
"license": "H107028",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sioux City, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 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.