BARBARA ANN MERGEN CNP
NPI 1346332202
Nurse Practitioner in Sartell, MN
NPI Status: Active since September 29, 2006
Contact Information
111 2ND ST S
SARTELL, MN
ZIP 56377
Phone: (320) 281-3339
Fax: (320) 200-7505
- Individual
- Female
- Nurse Practitioner
- Accepts Insurance
- PECOS Enrolled
- Medicare Quality Reporting
About BARBARA MERGEN
This page provides the complete NPI Profile along with additional information for Barbara Mergen, a provider established in Sartell, Minnesota with a medical specialization in Nurse Practitioner. The healthcare provider is registered in the NPI registry with number 1346332202 assigned on September 2006. The practitioner's primary taxonomy code is 363L00000X with license number NP1042766 (MN). The provider is registered as an individual and her NPI record was last updated 3 years ago.
- NPI
- 1346332202
- Provider Name
- BARBARA ANN MERGEN CNP
- Other Name
- BARBARA ANN GARRISON CNP
- Other Name Type
- Former Name (1)
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 111 2ND ST S SARTELL, MN 56377
- Location Phone
- (320) 281-3339
- Location Fax
- (320) 200-7505
- Mailing Address
- 111 2ND ST S SARTELL, MN 56377
- Mailing Phone
- (320) 281-3339
- Mailing Fax
- (320) 200-7505
- Is Sole Proprietor?
- No
- Enumeration Date
- 09-29-2006
- Last Update Date
- 04-07-2022
- Code Navigator
A nurse practitioner (NP) like Barbara Mergen is an experienced registered nurse with a master’s or doctoral degree and advanced clinical training. Nurse practitioners can work in many different specialties including primary care, pediatrics, cardiology, emergency, women’s health, oncology or geriatrics. Nurse practitioners provide services like physical exams, order laboratory tests, manage diseases, write prescriptions, etc.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Nurse Practitioner
- Taxonomy Code
- 363L00000X
- Type
- Physician Assistants & Advanced Practice Nursing Providers
- License No.
- NP1042766
- License State
- MN
- Taxonomy Description
- (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Sanford Individual Simplicity $1,750 - PPO
- Sanford Individual Simplicity $3,500 - PPO
- Sanford Individual Simplicity $4,750 - PPO
- Sanford Individual Simplicity $6,000 - PPO
- Sanford Individual Simplicity $7,100 HSA Qualified - PPO
- Sanford Individual Simplicity $9,200 - PPO
- Sanford Individual Simplicity Standardized $1,500 - PPO
- Sanford Individual Simplicity Standardized $5,000 - PPO
- Sanford Individual Simplicity Standardized $7,500 - PPO
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 0102297 | OTHER (01) | MN | MEDICA |
| 33Y06GA | OTHER (01) | MN | BCBS |
| 270722500 | MEDICAID (05) | MN |
Medicare Participation & PECOS Enrollment Status
Barbara Mergen is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
Physician Visit Costs
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 56377 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99203
- Average New Patient Price $85.82
- Minimum New Patient Price $56
- Maximum New Patient Price $168.28
- Average New Patient Copayment $21.45
- Minimum New Patient Copayment $14
- Maximum New Patient Copayment $42.07
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99214
- Average Established Patient Price $98.61
- Minimum Established Patient Price $18.32
- Maximum Established Patient Price $138.04
- Average Established Patient Copayment $24.65
- Minimum Established Patient Copayment $4.58
- Maximum Established Patient Copayment $34.51
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
Quality Reporting
The provider participated in CMS Quality Payment Program. The Quality Payment Program aims to improve population health, reduce costs and improve the care received by Medicare beneficiaries. The following quality measures meet Medicare's statistical reporting standards. Not all providers report the same information, because not all providers give the same services to patients. The quality information is just a snapshot of some the care providers give to their patients. Reporting more or less information is not a reflection of quality.
| Quality Measure | Performance | Number of Patients |
|---|---|---|
| Chronic Care and Preventative Care Management for Empaneled Patients | Yes | N/A |
| Proactively manage chronic and preventive care for empaneled patients that could include one or more of the following: • Provide patients annually with an opportunity for development and/or adjustment of an individualized plan of care as appropriate to age and health status, including health risk appraisal; gender, age and condition-specific preventive care services; and plan of care for chronic conditions; • Use condition-specific pathways for care of chronic conditions (e.g., hypertension, diabetes, depression, asthma and heart failure) with evidence-based protocols to guide treatment to target; such as a CDC-recognized diabetes prevention program; • Use pre-visit planning to optimize preventive care and team management of patients with chronic conditions; • Use panel support tools (registry functionality) to identify services due; • Use predictive analytical models to predict risk, onset and progression of chronic diseases; or • Use reminders and outreach (e.g., phone calls, emails, postcards, patient portals and community health workers where available) to alert and educate patients about services due; and/or routine medication reconciliation. | ||
| Implementation of medication management practice improvements | Yes | N/A |
| Manage medications to maximize efficiency, effectiveness and safety that could include one or more of the following: Reconcile and coordinate medications and provide medication management across transitions of care settings and eligible clinicians or groups; Integrate a pharmacist into the care team; and/or Conduct periodic, structured medication reviews. | ||
| Use of decision support and standardized treatment protocols | Yes | N/A |
| Use decision support and standardized treatment protocols to manage workflow in the team to meet patient needs. | ||
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 3 | 4 | 6 | 3 | 3 | 2 | 2 | 0 | 2 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 3 | 8 | 6 | 6 | 3 | 4 | 2 | 0 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 3 + 8 + 6 + 6 + 3 + 4 + 2 + 0 + 24 = 58 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 58 = 2 | 2 | ||||||||
The NPI number 1346332202 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 13 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1780951772 | CHRISTINE MARIE LUND PNP Individual | Nurse Practitioner (Pediatrics) | 111 2ND ST S SARTELL, MN 56377 (320) 281-3339 |
| 1063827236 | EMILY KORMAN D.O. Individual | Pediatrics | 111 2ND ST S SARTELL, MN 56377 (320) 281-3339 |
| 1265003610 | HEIDI JO WEBSTER Individual | Speech-Language Pathologist | 111 2ND ST S SARTELL, MN 56377 (320) 281-3339 |
| 1871619718 | DR. MAGGIE CLARE HAPPE PSYD, LP Individual | Psychologist (Clinical) | 111 2ND ST S SARTELL, MN 56377 (320) 281-3339 |
| 1215203898 | SARTELL PEDIATRICS, P.A. Organization | Pediatrics | 111 2ND ST S SARTELL, MN 56377 (320) 281-3339 |
| 1235133729 | KELLY ANN WOODS CPNP/FPNP Individual | Nurse Practitioner (Pediatrics) | 111 2ND ST S SARTELL, MN 56377 (320) 281-3339 |
| 1245819564 | KATELIN STOMMES OTR/L Individual | Occupational Therapist | 111 2ND ST S SARTELL, MN 56377 (320) 281-3339 |
| 1528404258 | CHRISTINE ROSE HOLLENKAMP CPNP, MAN, RN Individual | Nurse Practitioner (Pediatrics) | 111 2ND ST S SARTELL, MN 56377 (320) 281-3339 |
| 1720016124 | DAVID SMITH M.D. Individual | Pediatrics | 111 2ND ST S SARTELL, MN 56377 (320) 281-3339 |
| 1790366334 | NICOLE AKERSON OTR/L Individual | Occupational Therapist | 111 2ND ST S SARTELL, MN 56377 (320) 281-3339 |
| 1841939642 | ALYSON LAIDLAW MS, LMFT Individual | Marriage & Family Therapist | 111 2ND ST S SARTELL, MN 56377 (320) 281-3339 |
| 1992242648 | MRS. SARAH LEEVIE MARSTEIN RN, MSN, CPNP Individual | Nurse Practitioner (Pediatrics) | 111 2ND ST S SARTELL, MN 56377 (320) 281-3339 |
| 1962492637 | PATRICIA DIANE SCHERRER MD Individual | Pediatrics | 111 2ND ST S SARTELL, MN 56377 (320) 281-3339 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1346332202, enumerated in the NPI registry as an "individual" on September 29, 2006
The provider is located at 111 2nd St S Sartell, Mn 56377 and the phone number is (320) 281-3339
The provider's speciality is Nurse Practitioner with taxonomy code 363L00000X
The provider might be accepting Accepts: Sanford Health Plan, Medica Health Insurance,. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
Medicare beneficiaries should expect a typical cost of $85.82 with an average copayment of $21.45 for new patient appointments. Established patients should expect a typical charge of $98.61 and an average copayment of 24.65. Please review your insurance plan or contact the provider directly to determine your specific costs.
This NPI record was last updated on September 29, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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