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Deactivated NPI 1497712269 Deactivated / Inactive NPI Male Practitioner

Michael Bruce Merrett , PA-C

Physician Assistant • Carbondale, IL

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Michael Merrett has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date April 27, 2006
NPI Deactivation Date October 08, 2020
Total Practice Duration ~14 Years of Practice (2006 – 2020)

Professional Overview & Biography Verified Profile Summary

Michael Merrett, PA-C was a registered Physician Assistant practicing in Carbondale, IL. Throughout an active medical career spanning 14 years, Michael Merrett provided care at the practice location at 207 W JACKSON ST until profile deactivation on 2020-10-08.

Practice Location & Contact Primary Location

Practice Address

207 W Jackson St
Suite 201

Carbondale, IL 629011408

Telephone 6184572963
Fax 6184572992
Associated Practice Facility / Clinic
🏢 Brian G. Mcelheny, M.d. Ltd Facility NPI 1922203249

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Carbondale, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 12.2 Yrs
State Avg: 11.7 Yrs
Regional Practice Density
71 Specialists

Practicing in Carbondale, IL (4958 Statewide)

Telehealth Adoption Rate
4.2% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License IL 085-001769

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners
NPI 1598277907

PHYSICIANASSISTANT

Dr. Anad Salem , MD

Family Medicine

NPI 1659366839

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated October 08, 2020

Record deactivated on October 08, 2020

NPI Profile Active May 27, 2008

NPI status registered as active in NPPES database

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Updated Practice Location May 27, 2008

Registered at 207 W JACKSON ST, SUITE 201, CARBONDALE, IL 629011408 (Tel: 6184572963)

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Updated Business Mailing Address May 27, 2008

Registered at 691 E HANEY RD, CARBONDALE, IL 629010765 (Tel: 6189854377)

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Provider Name / Credentials Updated May 27, 2008

Recorded as MICHAEL MERRETT, PA-C

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Medical Taxonomy / Specialty Registered (Primary Specialty) May 27, 2008

Physician Assistant (License #085-001769 in IL)

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Initial NPI Registration & Enumeration April 27, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1497712269
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 27, 2006
Last Update: May 27, 2008
Deactivation Date: October 08, 2020

Mailing Address

691 E Haney Rd

Carbondale, IL 629010765

Phone: 6189854377

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.