NPIMap

Individual provider Active NPI

Merissa Yvonne Stoops, PA-C

  • Physician Assistant
  • Indianapolis, IN
National Provider Identifier
1982122578
Registry record updated Sep 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
10003916A Issued in IN
Practice address
1701 N Senate Blvd
Indianapolis, IN 46202-1239
Phone
(317) 962-0585
Fax
(317) 962-2082
NPI assigned
Sep 2, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 7, 2023

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA-2562 ID
Physician Assistant 363A00000X 10003916A IN Primary
Physician Assistant 363A00000X 1155930 WA
Physician Assistant 363A00000X PA60902142 WA

Addresses

Primary practice location

1701 N Senate Blvd
Indianapolis, IN 46202-1239

Mailing address

250 N Shadeland Ave
Indianapolis, IN 46219-4959

Other practice location 1

1233 Covina Ct
Richland, WA 99354-2159
Phone (509) 713-0151

Other practice location 2

4311 11th Ave NE Ste 200
Seattle, WA 98105-6367
Phone (206) 616-4001

Other practice location 3

780 Swift Blvd Ste 101
Richland, WA 99352-3545
Phone (509) 942-3288

Other practice location 4

999 N Curtis Rd Ste 415
Boise, ID 83706-1334
Phone (208) 302-2600

Other identifiers 1

IdentifierTypeStateIssuer
233690175OtherINMEDICARE

Other names 1

  • Merissa Myers Former name

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address mstoops@direct.iuhealth.org Direct
Direct Messaging Address mstoops1108148@wm.providencedirect.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA, IN, WY, ID, SD5 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 5

Enrollment IDStateProvider typePAC IDDetails
I20190225002392 WA Practitioner - Physician Assistant 3678812328 Reassigns benefits to 1 organization
I20230202000479 IN Practitioner - Physician Assistant 3678812328 Reassigns benefits to 1 organization
I20230717001073 WY Practitioner - Physician Assistant 3678812328 Reassigns benefits to 1 organization
I20231023000640 ID Practitioner - Physician Assistant 3678812328 Reassigns benefits to 1 organization
I20241122003760 SD Practitioner - Physician Assistant 3678812328 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Saint Alphonsus Regional Medical Center IncGroup PAC ID 3476462359, 672 clinicians
Banner Health Physicians West LLCGroup PAC ID 5092978866, 92 clinicians

Practice addresses (Care Compare)

1055 N Curtis Rd
Boise, ID 83706-1309
Phone (208) 367-2121

1106 Big Horn Ave
Worland, WY 82401-2803
Phone (307) 347-8801

3025 W Cherry LN
Meridian, ID 83642-8531

999 N Curtis Rd
Suite 415
Boise, ID 83706-1334
Phone (208) 302-2600

Hospital & facility affiliations

  • Banner Wyoming Medical Center Hospital, Casper, WY, CCN 530012
  • Saint Alphonsus Regional Medical Center Hospital, Boise, ID, CCN 130007

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
1511SDMDChiropractor
10003916AINMDPhysician Assistant
1155930WAMDPhysician Assistant
PA60902142WAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Health First Urgent Care, PLLC CurrentSince Sep 12, 2022 Accepting new patients
Saint Alphonsus Regional Medical Center Inc CurrentSince Oct 1, 2023 Accepting new patients
Monument Health Rapid City Hospital Inc CurrentSince Oct 15, 2024 Accepting new patients
Monument Health Rapid City Hospital Inc CurrentSince Oct 15, 2024 Accepting new patients
Saint Alphonsus Regional Medical Center Inc Physician Assistant CurrentSince Oct 1, 2023 Accepting new patients
Banner Health Physicians West LLC CurrentSince Nov 1, 2023 Accepting new patients
Saint Alphonsus Specialty Services Inc Past Accepting new patients

Locations

1055 N Curtis Rd
Boise, ID 83706
Phone (208) 367-2152

999 N Curtis Rd
Ste 415
Boise, ID 83706
Phone (208) 302-2600

3025 W Cherry Ln
Ste B
Meridian, ID 83642
Phone (208) 302-6400

353 Fairmont Blvd
Rapid City, SD 57701
Phone (605) 719-1000

5426 Road 68
Ste D
Pasco, WA 99301

37 Columbia Point Dr
Richland, WA 99352
Phone (509) 300-1500

1020 S Conwell St
Casper, WY 82601
Phone (307) 265-3622

1106 Big Horn Ave
Worland, WY 82401
Phone (307) 347-3221

Interoperability endpoints

  • Direct secure messaging: mstoops2852405@direct.trinity-health.org
  • Direct secure messaging: mstoops1108148@wm.providencedirect.org
  • Direct secure messaging: mstoops@direct.iuhealth.org

Organizations & group practices 11

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 6

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": "1504310400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694044800000",
    "number": "1982122578",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 N SHADELAND AVE",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462194959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1701 N SENATE BLVD",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462021239",
            "telephone_number": "317-962-0585",
            "fax_number": "317-962-2082"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1233 Covina Ct",
            "address_purpose": "LOCATION",
            "city": "Richland",
            "state": "WA",
            "postal_code": "993542159",
            "country_code": "US",
            "telephone_number": "509-713-0151",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4311 11th Ave NE Ste 200",
            "address_purpose": "LOCATION",
            "city": "Seattle",
            "state": "WA",
            "postal_code": "981056367",
            "country_code": "US",
            "telephone_number": "206-616-4001",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "780 Swift Blvd Ste 101",
            "address_purpose": "LOCATION",
            "city": "Richland",
            "state": "WA",
            "postal_code": "993523545",
            "country_code": "US",
            "telephone_number": "509-942-3288",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "999 N Curtis Rd Ste 415",
            "address_purpose": "LOCATION",
            "city": "Boise",
            "state": "ID",
            "postal_code": "837061334",
            "country_code": "US",
            "telephone_number": "208-302-2600",
            "fax_number": "208-302-2625",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STOOPS",
        "first_name": "MERISSA",
        "middle_name": "YVONNE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-02",
        "last_updated": "2023-09-07",
        "certification_date": "2023-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "ID",
            "license": "PA-2562",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IN",
            "license": "10003916A",
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "WA",
            "license": "1155930",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "WA",
            "license": "PA60902142",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "233690175",
            "state": "IN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mstoops@direct.iuhealth.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1701 N Senate Blvd",
            "city": "Indianapolis",
            "state": "IN",
            "country_code": "US",
            "postal_code": "462021239",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mstoops1108148@wm.providencedirect.org",
            "affiliation": "N",
            "address_1": "780 Swift Blvd Ste 101",
            "city": "Richland",
            "state": "WA",
            "country_code": "US",
            "postal_code": "993523545",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "MERISSA",
            "last_name": "MYERS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Indianapolis, IN

Sources for this page

Verify at the official NPI Registry.