Dr Merica Kristin Chapple, FNP-C, RN is a medicare enrolled "Nurse Practitioner - Family" in North Salt Lake City, Utah. Her current practice location is
30 North Mario Capecchi Dr, North Salt Lake City, Utah. You can reach out to her office (for appointments etc.) via phone at
(801) 581-7818.
Dr Merica Kristin Chapple is licensed to practice in Utah (license number 8291206-4405) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1780375253.
Provider's Profile
| Full Name | Dr Merica Kristin Chapple |
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| Gender | Female |
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| Speciality | Nurse Practitioner - Family |
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| Location | 30 North Mario Capecchi Dr, North Salt Lake City, Utah |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1780375253
- Provider Enumeration Date: 05/16/2023
- Last Update Date: 08/06/2025
Medicare PECOS Information:
- PECOS PAC ID: 5193243301
- Enrollment ID: I20250520004180
Medical Identifiers
Medical identifiers for Dr Merica Kristin Chapple such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1780375253 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 163WE0003X | Registered Nurse - Emergency | 8291206-3102 (Utah) | Secondary |
| 363L00000X | Nurse Practitioner | 8291206-4405 (Utah) | Secondary |
| 363L00000X | Nurse Practitioner | 8291206-8900 (Utah) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 8291206-4405 (Utah) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Merica Kristin Chapple allows following entities to bill medicare on her behalf.
| Entity Name | University Of Utah Adult Services |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1114321981
PECOS PAC ID: 0941525273
Enrollment ID: O20150209001683 |
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Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Merica Kristin Chapple is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Merica Kristin Chapple, FNP-C, RN
30 North Mario Capecchi Dr,
North Salt Lake City, UT 84112
Ph: (801) 581-7822 | Dr Merica Kristin Chapple, FNP-C, RN
30 North Mario Capecchi Dr,
North Salt Lake City, UT 84112
Ph: (801) 581-7818 |
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