MONA MERRITT (MD) – Family Medicine Physician, NPI 1144272816

MONA MERRITT (MD) is a healthcare provider. based in South haven, Michigan. specializing in FAMILY PRACTICE. They hold the professional credentials MD. They hold a License No. 4301070807 (MI). The NPI Number for MONA MERRITT (MD) is 1144272816

Main info

Female
34 Years Of Experience
Accepts Medicare Assignment
Name
MONA MERRITT (MD)
NPI
1144272816
Phone
(269) 639-2772
Address
965 S Bailey Ave Ste 2-2
Enumeration Date
17 May 2006
Last Update Date
19 June 2018

Doctor Profile

Medical School Name
MEDICAL COLLEGE OF OHIO
Secondary Phone
2317399315
Graduation Year
1992 (34 years ago)
PAC ID
0749285237
Group Practice PAC ID
2860384831
Professional Enrollment ID
I20060915000109
Address ID
MI494441207MU2201XSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

4,418 FAMILY PRACTICE in MI

Provider Addresses for MONA MERRITT (MD)

  • 965 S Bailey Ave Ste 2-2

    South Haven, MI 490906743

    Phone: (269) 639-2772

    Fax: (269) 639-2770

    Type: Location

  • 80 68th St SE

    Suite 202

    Grand Rapids, MI 495486980

    Phone: (616) 267-0759

    Type: Location

  • Bronson Methodist Hospital, 601, John Street, Kalamazoo, Kalamazoo County, Michigan, 49007, United States

    KALAMAZOO, MI 49007

    Phone: (269) 341-6000

    Type: Location

  • 100 MICHIGAN ST NE # MC845

    GRAND RAPIDS, MI 495032560

    Phone:

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $19.

Total Amount is formed as General ($19) + Research ($0) + Ownership ($0) = $19.

Last reported payment date: 2023-10-13 • Largest payer in this snapshot: Indivior Inc. ($19).

Total Amount

$19

General + Research + Ownership

Payments

1

Total payment records

General Amount

$19

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-10-13

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Indivior Inc.$19
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: 2006-09-15

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
I20060915000109IFamily PracticeMITBD

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 49090)

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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: 2860384831View full group profile
NameSpecialtyState
Family PracticeAL
Nurse PractitionerMI
Family Practice, Addiction MedicineMI
-MI
-MI
Physician AssistantMI
Family PracticeMN
Nurse PractitionerMI
Physician AssistantMI
Family PracticeMI

Reviews

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Frequently asked questions

What is the 10-digit NPI for MONA MERRITT (MD)?
MONA MERRITT (MD) — NPI 1144272816 — is the standard way to identify this listing.
Does CMS list MONA MERRITT (MD) as active?
Yes — MONA MERRITT (MD) is active in the NPI listing used on this page.
What is MONA MERRITT (MD)'s primary classification?
Family Medicine Physician is the headline specialty for MONA MERRITT (MD) here. Clinical services aligned with this taxonomy classification.
Where should I expect MONA MERRITT (MD) on a map?
Expect South Haven, Michigan as a primary anchor for MONA MERRITT (MD) unless the record lists multiple sites.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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