STEPHANIE MERRILL – Family Nurse Practitioner, NPI 1265051239

STEPHANIE MERRILL is a healthcare provider. based in Ottumwa, Iowa. specializing in NURSE PRACTITIONER. They hold a License No. A158391 (IA). The NPI Number for STEPHANIE MERRILL is 1265051239

Main info

Female
7 Years Of Experience
Accepts Medicare Assignment
Name
STEPHANIE MERRILL
NPI
1265051239
Phone
(641) 684-2551
Address
1255 THEATRE DR
Enumeration Date
10 April 2020
Last Update Date
10 April 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6416843200
Graduation Year
2019 (7 years ago)
PAC ID
3072932961
Group Practice PAC ID
3971629924
Professional Enrollment ID
I20200925001437
Address ID
IA525012110OT1013XEXXX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience36
Completeness75
Years active:6State licenses:1Digital endpointsOther names

3,529 NURSE PRACTITIONER in IA

Provider Addresses for STEPHANIE MERRILL

  • 1255 THEATRE DR

    OTTUMWA, IA 525013772

    Phone: (641) 684-2551

    Type: Location

  • 1001 PENNSYLVANIA AVE

    OTTUMWA, IA 525016427

    Phone: (641) 684-2300

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2020-09-25

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
I20200925001437INurse PractitionerIATBD

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
87428Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus and influenza2323$0
81002Urinalysis, manual test2015$0
View full utilization report →

Insurance plans in this area (ZIP 52501)

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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: 3971629924View full group profile
NameSpecialtyState
Family Practice, Obstetrics/Gynecology, General PracticeIA
General SurgeryOH
Certified Nurse Midwife (Cnm)IA
Nurse PractitionerIA
Family PracticeIA
-IA
Nurse PractitionerIA
Family PracticeIA
O B S T E T R I C S/ G Y N E C O L O G YVA
Nurse PractitionerIA

Reviews

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Frequently asked questions

How do payers reference STEPHANIE MERRILL?
For STEPHANIE MERRILL, use NPI 1265051239 as the unique 10-digit identifier.
Is STEPHANIE MERRILL still an active registrant?
STEPHANIE MERRILL carries an active NPI according to the public dataset.
How would a patient describe STEPHANIE MERRILL's focus?
For STEPHANIE MERRILL, the primary taxonomy reads as Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What locale is associated with STEPHANIE MERRILL?
Directory geography for STEPHANIE MERRILL centers on Ottumwa, Iowa.
Can I trust this NPI listing for STEPHANIE MERRILL?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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