CMS-1500 Box 24J / 33a • NPI
1083408942
Type 1 Individual Rendering/Ordering
HIPAA NUCC Taxonomy • CMS Code
171M00000X
Licensed & Credentialed Case Manager/Care Coordinator
Box 32 Service Location & ZIP+4
49497 HIGHWAY 49, ANNAPOLIS, MO, 63620-7800
✓ 9-Digit EDI 837 ZIP+4 (63620-7800)
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR:
NPI
1083408942 (ERIN MICHELLE MERTENS) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).
CMS Medicare Order & Referring PECOS Eligibility
Official CMS NPPES Credential & Practice Profile
| 10-Digit NPI Number | 1083408942 (NPI-1 Individual Practitioner) |
|---|---|
| Provider / Legal Name | ERIN MICHELLE MERTENS |
| Plain-English Specialty | Licensed & Credentialed Case Manager/Care Coordinator NUCC Code: 171M00000X (Case Manager/Care Coordinator) |
| Certifying / Licensing Body | State Medical / Healthcare Licensing Board & National Specialty Board |
| Practice Location Address | 49497 HIGHWAY 49, ANNAPOLIS, MO, 63620-7800 |
| Practice Telephone / Fax | Tel: (573) 307-1766 | Fax: (573) 307-1766 |
| Administrative Mailing Address | 49497 HIGHWAY 49, ANNAPOLIS, MO, 63620-7800 |
| Enumeration & Last Sync | Enumerated: 2025-04-07 | CMS Record Updated: 2026-02-04 |
Clinic Location, Accessibility & Directions
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Plain-English Taxonomy & CMS Crosswalk (171M00000X)
What Does Taxonomy Code 171M00000X Mean?
In the HIPAA National Uniform Claim Committee (NUCC) classification, code 171M00000X translates to:
"Licensed & Credentialed Case Manager/Care Coordinator"
Specialty Clinical Procedures & Therapeutic Classes
Standard Scope of Care (ERIN MICHELLE MERTENS)
Typical CPT / Diagnostic Procedures:- Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
- Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
- Preventive Screening, Patient Counseling & Multidisciplinary Referral
- Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)
All Registered NUCC Taxonomies & State Licenses
| Taxonomy Code & Plain-English Description | State License & Primary Status |
|---|---|
172V00000X — Community Health WorkerPlain English: Licensed & Credentialed Community Health Worker | State: MO | License: Verified | Primary: Secondary |
171M00000X — Case Manager/Care CoordinatorPlain English: Licensed & Credentialed Case Manager/Care Coordinator | State: MO | License: Verified | Primary: Yes (Primary) |
1041C0700X — Social Worker, ClinicalPlain English: Licensed & Credentialed Behavioral Health & Social Service Providers — Social Worker, Clinical | State: N/A | License: Verified | Primary: Secondary |
390200000X — Student in an Organized Health Care Education/Training ProgramPlain English: Licensed & Credentialed Student in an Organized Health Care Education/Training Program | State: MO | License: Verified | Primary: Secondary |
3747P1801X — Technician, Personal Care AttendantPlain English: Licensed & Credentialed Technician, Personal Care Attendant | State: MO | License: Verified | Primary: Secondary |
Medical Billing, RCM & Hospital Credentialing Teams:
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