JUSTIN GREGORY MERZLOCK (FNP) – Family Nurse Practitioner, NPI 1013668847

JUSTIN GREGORY MERZLOCK (FNP) is a healthcare provider. based in Pocatello, Idaho. specializing in NURSE PRACTITIONER. They hold the professional credentials FNP. They hold a License No. 71322 (ID). The NPI Number for JUSTIN GREGORY MERZLOCK (FNP) is 1013668847

Main info

Male
Sole Proprietor
5 Years Of Experience
Accepts Medicare Assignment
Name
JUSTIN GREGORY MERZLOCK (FNP)
NPI
1013668847
Phone
(208) 251-5027
Address
14926 W BRANDY LN
Enumeration Date
13 January 2022
Last Update Date
13 January 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2089044780
Graduation Year
2021 (5 years ago)
PAC ID
6608269063
Group Practice PAC ID
9032155312
Professional Enrollment ID
I20220207001594
Address ID
ID832024707CH4511XAVEX300
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience32
Completeness75
Years active:4State licenses:1Digital endpointsOther names

1,798 NURSE PRACTITIONER in ID

Provider Addresses for JUSTIN GREGORY MERZLOCK (FNP)

  • 14926 W BRANDY LN

    POCATELLO, ID 832025345

    Phone: (208) 251-5027

    Type: Mailing

  • 4511 ZEBE AVE

    CHUBBUCK, ID 832024707

    Phone: (208) 904-4780

    Fax: (208) 904-4832

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 38 Open Payments records for all available years, with a total value of $804.

Total Amount is formed as General ($804) + Research ($0) + Ownership ($0) = $804.

Last reported payment date: 2024-12-04 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($92).

Total Amount

$804

General + Research + Ownership

Payments

38

Total payment records

General Amount

$804

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-04

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: 2022-02-07

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
I20220207001594INurse PractitionerIDTBD

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 minutes372188$0
99215Established patient office or other outpatient visit, 40-54 minutes7441$0
99213Established patient office or other outpatient visit, 20-29 minutes5339$0
90961Dialysis services, 2-3 physician visits per month (20 years or older)3422$0
View full utilization report →

Insurance plans in this area (ZIP 83202)

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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: 9032155312View full group profile
NameSpecialtyState
-ID
Nephrology, Internal MedicineUT
N E P H R O L O G YID
Nephrology, Internal MedicineID
Nurse PractitionerID
Internal MedicineNY
Internal Medicine, NephrologyID
Internal MedicineMI
Nurse PractitionerID
-ID

Reviews

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Frequently asked questions

Can I use this page to confirm JUSTIN GREGORY MERZLOCK (FNP)'s NPI?
Yes. JUSTIN GREGORY MERZLOCK (FNP) is listed with NPI 1013668847 in the public NPI dataset.
Does the file indicate JUSTIN GREGORY MERZLOCK (FNP) is practicing under active NPI?
Directory data currently reports JUSTIN GREGORY MERZLOCK (FNP) as active.
What taxonomy line describes JUSTIN GREGORY MERZLOCK (FNP)?
For research purposes, treat JUSTIN GREGORY MERZLOCK (FNP) as Family Nurse Practitioner in this dataset. Clinical services aligned with this taxonomy classification.
Where is JUSTIN GREGORY MERZLOCK (FNP) based?
JUSTIN GREGORY MERZLOCK (FNP) is tied to Pocatello, Idaho in the data we show; additional addresses may exist on the full record.
Is the information about JUSTIN GREGORY MERZLOCK (FNP) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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