DR. ANGELA R MERZENICH (M.D.) – Family Medicine Physician, NPI 1063413649

DR. ANGELA R MERZENICH (M.D.) is a healthcare provider. based in Daytona beach, Florida. specializing in FAMILY PRACTICE. They hold the professional credentials M.D.. They hold a License No. 29075 (AZ). The NPI Number for DR. ANGELA R MERZENICH (M.D.) is 1063413649

Main info

Female
31 Years Of Experience
Accepts Medicare Assignment
Name
DR. ANGELA R MERZENICH (M.D.)
NPI
1063413649
Phone
(386) 676-7130
Address
PO BOX 9671
Enumeration Date
9 August 2005
Last Update Date
28 March 2025

Doctor Profile

Medical School Name
LOMA LINDA UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
4078780910
Graduation Year
1995 (31 years ago)
PAC ID
9931094414
Group Practice PAC ID
9436201233
Professional Enrollment ID
I20130717000257
Address ID
FL327465702LA707XXPTXX300
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience73
Completeness75
Years active:20State licenses:2Digital endpointsOther names

6,722 FAMILY PRACTICE in FL

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Provider Addresses for DR. ANGELA R MERZENICH (M.D.)

  • PO BOX 9671

    DAYTONA BEACH, FL 321209671

    Phone: (386) 676-7130

    Fax: (386) 676-7125

    Type: Mailing

  • Lake Mary Boulevard, Heathrow, Lake Mary, Seminole County, Florida, 32746, United States

    SUITE 109

    LAKE MARY, FL 327463501

    Phone: (407) 878-0910

    Fax: (407) 878-0911

    Type: Location

  • 4106 W LAKE MARY BLVD STE 225

    LAKE MARY, FL 327462403

    Phone: (407) 548-6530

    Fax: (407) 548-6535

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 10 Open Payments records for all available years, with a total value of $174.

Total Amount is formed as General ($174) + Research ($0) + Ownership ($0) = $174.

Last reported payment date: 2024-11-07 • Largest payer in this snapshot: Exact Sciences Corporation ($50).

Total Amount

$174

General + Research + Ownership

Payments

10

Total payment records

General Amount

$174

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-07

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2013-07-17

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20130717000257IFamily PracticeFLTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes7029$0
99213Established patient office or other outpatient visit, 20-29 minutes3726$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit2525$0
G0008Administration of influenza virus vaccine1111$0
View full utilization report →

Insurance plans in this area (ZIP 32120)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9436201233View full group profile

Reviews

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Frequently asked questions

What is DR. ANGELA R MERZENICH (M.D.)'s NPI number?
DR. ANGELA R MERZENICH (M.D.)'s NPI is 1063413649 — the number used across U.S. healthcare to identify this provider.
Would DR. ANGELA R MERZENICH (M.D.) appear as active to a payer?
You can treat DR. ANGELA R MERZENICH (M.D.) as active for directory purposes; confirm clinical privileges separately.
What expertise is attributed to DR. ANGELA R MERZENICH (M.D.)?
DR. ANGELA R MERZENICH (M.D.)'s specialty line reads Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Is DR. ANGELA R MERZENICH (M.D.) associated with Daytona Beach?
Public fields place DR. ANGELA R MERZENICH (M.D.) around Daytona Beach, Florida. Always confirm the exact site before visiting.
What does 4 location(s) imply?
4 practice locations appear in the available data.

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