Individual provider Active NPI

Genessa Lynn Merritt

  • Family Nurse Practitioner
  • Englewood, OH
National Provider Identifier
1962804716
Registry record updated Feb 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN.CNP.16403 Issued in OH
Practice address
885 Union Blvd
Englewood, OH 45322-2102
Phone
(937) 832-4091
NPI assigned
Sep 24, 2014
Last updated
Feb 6, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 6, 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 APRN.CNP.16403 OH Primary

Addresses

Primary practice location

885 Union Blvd
Englewood, OH 45322-2102

Mailing address

2620 Elm Hill Pike
Nashville, TN 37214-3108

Other practice location 1

9150 N Main St
Englewood, OH 45415-1123
Phone (937) 771-3039 ext. 937

Other practice location 2

1451 W Main St
Troy, OH 45373-2570
Phone (937) 335-3100

Other practice location 3

6210 Brandt Pike Ste 102
Huber Heights, OH 45424-4019
Phone (937) 236-8630

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20150925000778 OH Practitioner - Nurse Practitioner 3375764376 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
CG Medical Associates IncGroup PAC ID 6608052196, 171 clinicians

Practice addresses (Care Compare)

5915 N Main St
Dayton, OH 45415-3104
Phone (937) 278-3826

Merit-based Incentive Payment System (MIPS)

Final score
86.78 of 100Reported as group
Quality
71.59
Promoting interoperability
100
Improvement activities
40
Cost
84.34

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
APRN.CNP.16403OHMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
The Little Clinic of Ohio LLC Family CurrentSince Jan 20, 2022 Accepting new patients
CG Medical Associates Inc CurrentSince Dec 7, 2023 Accepting new patients
Urgent Care Specialists, LLC PastSince Apr 28, 2024 Accepting new patients
Mvhe Inc Past Accepting new patients
Quick Med Urgent Care LLC Past Accepting new patients

Locations

7300 Beechmont Ave
Cincinnati, OH 45230
Phone (513) 232-9100

199 Graceland Blvd
Columbus, OH 43214
Phone (614) 410-2814

5915 N Main St
Dayton, OH 45415
Phone (937) 278-3826

885 Union Blvd
Englewood, OH 45322
Phone (937) 832-4080

Interoperability endpoints

  • Direct secure messaging: genessa.merritt@krogerhealth.eclinicaldirectplus.com
  • FHIR API: https://api.platform.athenahealth.com/1576/brand/1/csg/22/fhir/r4
  • FHIR API: https://api.platform.athenahealth.com/19801/brand/1/csg/1/fhir/r4

Organizations & group practices 5

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": "1411516800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770336000000",
    "number": "1962804716",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2620 ELM HILL PIKE",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372143108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "885 UNION BLVD",
            "city": "ENGLEWOOD",
            "state": "OH",
            "postal_code": "453222102",
            "telephone_number": "937-832-4091"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9150 N Main St",
            "address_purpose": "LOCATION",
            "city": "Englewood",
            "state": "OH",
            "postal_code": "454151123",
            "country_code": "US",
            "telephone_number": "937-771-3039 x937",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1451 W Main St",
            "address_purpose": "LOCATION",
            "city": "Troy",
            "state": "OH",
            "postal_code": "453732570",
            "country_code": "US",
            "telephone_number": "937-335-3100",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6210 Brandt Pike Ste 102",
            "address_purpose": "LOCATION",
            "city": "Huber Heights",
            "state": "OH",
            "postal_code": "454244019",
            "country_code": "US",
            "telephone_number": "937-236-8630",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MERRITT",
        "first_name": "GENESSA",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-09-24",
        "last_updated": "2026-02-06",
        "certification_date": "2026-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "APRN.CNP.16403",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Englewood, OH

Sources for this page

Verify at the official NPI Registry.