JACQUELINE MERRILL (APRN) – Family Nurse Practitioner, NPI 1093316747

JACQUELINE MERRILL (APRN) is a healthcare provider. based in Owensboro, Kentucky. specializing in NURSE PRACTITIONER. They hold the professional credentials APRN. They hold a License No. 3014040 (KY). The NPI Number for JACQUELINE MERRILL (APRN) is 1093316747

Main info

Female
7 Years Of Experience
Accepts Medicare Assignment
Name
JACQUELINE MERRILL (APRN)
NPI
1093316747
Phone
(270) 689-6500
Address
1000 INDUSTRIAL DR
Enumeration Date
7 November 2020
Last Update Date
4 January 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2706896500
Graduation Year
2019 (7 years ago)
PAC ID
4082086681
Group Practice PAC ID
4082522396
Professional Enrollment ID
I20230208000793
Address ID
KY423012956OW1100XSTXX300

Contacts

Main Contact
Owensboro
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience39
Completeness85
Years active:5State licenses:1Other namesUpdated within 12 months

7,343 NURSE PRACTITIONER in KY

Provider Addresses for JACQUELINE MERRILL (APRN)

  • 1000 INDUSTRIAL DR

    OWENSBORO, KY 423018715

    Phone: (270) 689-6500

    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)

CMS reports 133 Open Payments records for all available years, with a total value of $2,141.

Total Amount is formed as General ($2,141) + Research ($0) + Ownership ($0) = $2,141.

Last reported payment date: 2024-12-10 • Largest payer in this snapshot: Janssen Pharmaceuticals, Inc ($561).

Total Amount

$2,141

General + Research + Ownership

Payments

133

Total payment records

General Amount

$2,141

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-10

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: 2023-02-08

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
I20230208000793INurse PractitionerKYTBD

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 42301)

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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: 4082522396View full group profile
NameSpecialtyState
-IN
P S Y C H I A T R YKY
Nurse PractitionerKY
Mental Health CounselorKY
Nurse PractitionerKY
Nurse PractitionerKY
Mental Health CounselorKY
Nurse PractitionerIN
Mental Health CounselorKY
Clinical Social WorkerKY

Reviews

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Frequently asked questions

What federal number belongs to JACQUELINE MERRILL (APRN)?
The federal identifier for JACQUELINE MERRILL (APRN) is NPI 1093316747.
Is JACQUELINE MERRILL (APRN)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
Can you summarize JACQUELINE MERRILL (APRN)'s specialty in plain language?
Clinically, the directory lists JACQUELINE MERRILL (APRN) with Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What location shows for JACQUELINE MERRILL (APRN)?
We surface Owensboro, Kentucky for JACQUELINE MERRILL (APRN) based on available NPPES addresses.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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