MATTHEW BRENT MERRIMAN (M.A., LMFT) – Marriage & Family Therapist, NPI 1043385503

MATTHEW BRENT MERRIMAN (M.A., LMFT) is a healthcare provider. based in Fridley, Minnesota. specializing in MARRIAGE AND FAMILY THERAPIST. They hold the professional credentials M.A., LMFT. They hold a License No. 2023 (MN). The NPI Number for MATTHEW BRENT MERRIMAN (M.A., LMFT) is 1043385503

Main info

Male
21 Years Of Experience
Accepts Medicare Assignment
Name
MATTHEW BRENT MERRIMAN (M.A., LMFT)
NPI
1043385503
Phone
(612) 672-6999
Address
6341 UNIVERSITY AVE NE
Enumeration Date
21 November 2006
Last Update Date
30 March 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7635725700
Graduation Year
2005 (21 years ago)
PAC ID
4981054178
Group Practice PAC ID
3375645179
Professional Enrollment ID
I20240101000095
Address ID
MN554324946FR6341XNEXX400
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness75
Years active:19State licenses:1Digital endpointsOther names

981 MARRIAGE AND FAMILY THERAPIST in MN

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Provider Addresses for MATTHEW BRENT MERRIMAN (M.A., LMFT)

  • 6341, University Avenue Northeast, Fridley, Anoka County, Minnesota, 55432, United States

    FRIDLEY, MN 554324946

    Phone: (612) 672-6999

    Type: Location

  • 14465, Waco Street Northwest, Ramsey, Anoka County, Minnesota, 55303, United States

    RAMSEY, MN 553036179

    Phone: (763) 370-6307

    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: 2024-01-01

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
I20240101000095IMarriage And Family TherapistMNTBD

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 55432)

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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: 3375645179View full group profile
NameSpecialtyState
P A T H O L O G YMN
G A S T R O E N T E R O L O G YMN
N E U R O S U R G E R YOH
-MN
Physician AssistantMN
Physician AssistantMN
-MN
-MN
Physical Therapist In Private PracticeOR
Cardiovascular Disease (Cardiology)IL

Reviews

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Frequently asked questions

What is the registry number for MATTHEW BRENT MERRIMAN (M.A., LMFT)?
The registry entry for MATTHEW BRENT MERRIMAN (M.A., LMFT) shows NPI 1043385503.
Is MATTHEW BRENT MERRIMAN (M.A., LMFT)'s NPI status active today?
Active status means MATTHEW BRENT MERRIMAN (M.A., LMFT)'s NPI record is not deactivated in the public file.
What type of care does MATTHEW BRENT MERRIMAN (M.A., LMFT) provide?
MATTHEW BRENT MERRIMAN (M.A., LMFT)'s profile centers on Marriage & Family Therapist. Clinical services aligned with this taxonomy classification.
What geographic area is tied to MATTHEW BRENT MERRIMAN (M.A., LMFT)?
MATTHEW BRENT MERRIMAN (M.A., LMFT) is associated with Fridley, Minnesota in the same public data insurers reference.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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