NICHOLAS TYLER MERGEN (DPT, ATC) – Physical Therapist, NPI 1356889653

NICHOLAS TYLER MERGEN (DPT, ATC) is a healthcare provider. based in Coralville, Iowa. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials DPT, ATC. They hold a License No. 085171 (IA). The NPI Number for NICHOLAS TYLER MERGEN (DPT, ATC) is 1356889653

Main info

Male
10 Years Of Experience
Accepts Medicare Assignment
Name
NICHOLAS TYLER MERGEN (DPT, ATC)
NPI
1356889653
Phone
(319) 665-2630
Address
3290 RIDGEWAY DR STE 3
Enumeration Date
7 February 2017
Last Update Date
7 February 2017

Doctor Profile

Medical School Name
OTHER
Secondary Phone
31966526302
Graduation Year
2016 (10 years ago)
PAC ID
8628351681
Group Practice PAC ID
1254226095
Professional Enrollment ID
I20170217000098
Address ID
IA522412023CO3290XDRXX301
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience41
Completeness75
Years active:9State licenses:2Digital endpointsOther names

1,307 PHYSICAL THERAPIST IN PRIVATE PRACTICE in IA

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Provider Addresses for NICHOLAS TYLER MERGEN (DPT, ATC)

  • Ridgeway Drive, Coralville, Johnson County, Iowa, 52317, United States

    CORALVILLE, IA 522412023

    Phone: (319) 665-2630

    Mailing address matches the actual address.

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: 2017-02-17

PECOS data refreshed: 2026-06-15

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
I20170217000098IPhysical Therapist In Private PracticeIATBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 52241)

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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: 1254226095View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeIA
Physical Therapist In Private PracticeIA
Physical Therapist In Private PracticeAZ
Physical Therapist In Private PracticeIA
Physical Therapist In Private PracticeIA
Physical Therapist In Private PracticeIA
Physical Therapist In Private PracticeIA
-IA
-IA
-IA

Reviews

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Frequently asked questions

How do payers reference NICHOLAS TYLER MERGEN (DPT, ATC)?
For NICHOLAS TYLER MERGEN (DPT, ATC), use NPI 1356889653 as the unique 10-digit identifier.
Would NICHOLAS TYLER MERGEN (DPT, ATC) appear as active to a payer?
You can treat NICHOLAS TYLER MERGEN (DPT, ATC) as active for directory purposes; confirm clinical privileges separately.
What expertise is attributed to NICHOLAS TYLER MERGEN (DPT, ATC)?
NICHOLAS TYLER MERGEN (DPT, ATC)'s specialty line reads Physical Therapist. Clinical services aligned with this taxonomy classification.
What locale is associated with NICHOLAS TYLER MERGEN (DPT, ATC)?
Directory geography for NICHOLAS TYLER MERGEN (DPT, ATC) centers on Coralville, Iowa.
Does NICHOLAS TYLER MERGEN (DPT, ATC) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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