MARK ERIC MERRELL (PA-C) – Physician Assistant, NPI 1922342377

MARK ERIC MERRELL (PA-C) is a healthcare provider. based in Mountain home, Idaho. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. GPA-054 (ID). The NPI Number for MARK ERIC MERRELL (PA-C) is 1922342377

Main info

Male
14 Years Of Experience
Accepts Medicare Assignment
Name
MARK ERIC MERRELL (PA-C)
NPI
1922342377
Phone
(208) 696-7203
Address
2280 AMERICAN LEGION BLVD
Enumeration Date
23 November 2012
Last Update Date
9 September 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2083667416
Graduation Year
2012 (14 years ago)
PAC ID
8426299439
Group Practice PAC ID
5496656894
Professional Enrollment ID
I20130801000834
Address ID
ID836232701GL486XXAVEX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness85
Years active:13State licenses:2Digital endpointsOther names

1,534 PHYSICIAN ASSISTANT in ID

Provider Addresses for MARK ERIC MERRELL (PA-C)

  • 2280 AMERICAN LEGION BLVD

    MOUNTAIN HOME, ID 836473142

    Phone: (208) 696-7203

    Type: Mailing

  • 486 W 1ST AVE

    GLENNS FERRY, ID 836232701

    Phone: (208) 366-7416

    Fax: (208) 366-2595

    Type: Location

  • 2840 S MERIDIAN RD

    MERIDIAN, ID 836427960

    Phone: (208) 593-6393

    Fax: (208) 593-6402

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 26 Open Payments records for all available years, with a total value of $469.

Total Amount is formed as General ($469) + Research ($0) + Ownership ($0) = $469.

Last reported payment date: 2024-10-16 • Largest payer in this snapshot: Lilly USA, LLC ($218).

Total Amount

$469

General + Research + Ownership

Payments

26

Total payment records

General Amount

$469

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-16

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2013-08-01

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
I20130801000834IPhysician AssistantIDTBD

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
81003Automated urinalysis test3417$0
83037Hemoglobin a1c level, by device for home use3421$0
View full utilization report →

Insurance plans in this area (ZIP 83647)

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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: 5496656894View full group profile
NameSpecialtyState
Nurse PractitionerID
Mental Health CounselorID
-ID
Nurse PractitionerMI
Physician AssistantID
Clinical Social WorkerID
Physician AssistantNV
Physician AssistantID
Family PracticeID
Physician AssistantID

Reviews

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Frequently asked questions

What number should I use to identify MARK ERIC MERRELL (PA-C) for billing?
Administrative and clinical systems typically use NPI 1922342377 for MARK ERIC MERRELL (PA-C).
Should I treat MARK ERIC MERRELL (PA-C) as an active provider?
Patients and plans typically see MARK ERIC MERRELL (PA-C) as active in the national extract.
What type of care does MARK ERIC MERRELL (PA-C) provide?
MARK ERIC MERRELL (PA-C)'s profile centers on Physician Assistant. Clinical services aligned with this taxonomy classification.
Is MARK ERIC MERRELL (PA-C) tied to Mountain Home, Idaho?
If you are local to Mountain Home, Idaho, MARK ERIC MERRELL (PA-C) may be relevant to your search.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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