Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jacob Jeffrey Merrell, MD

Individual provider Diagnostic Radiology Physician · NPI 1265676381

Jacob Jeffrey Merrell, MD is a Diagnostic Radiology in Casper, Wyoming. Graduated from University of Washington School of Medicine in 2009, 17 years ago. Practices with Cwip LLC, a 7-clinician group and accepts Medicare assignment. Licensed in Colorado, Montana and Wyoming.

Years since qualifying
17
Trained at
University of Washington School of Medicine
Licensed in
CO, MT, WY
In the registry since
2009
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

419 S Washington St Ste 101
Casper, WY 82601-2991
Phone: (307) 265-1620
Fax: (307) 237-1074
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X · Licence 9878A (WY)
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence CDR.0000559 (CO)
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence 80403 (MT)

Record details

NPI number1265676381
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 21, 2009
Last updated in NPPESJune 17, 2024
Certification dateJune 17, 2024
Mailing address419 S Washington St Ste 101, Casper, WY 82601-2991

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyDIAGNOSTIC RADIOLOGY
Medical schoolUNIVERSITY OF WASHINGTON SCHOOL OF MEDICINE
Graduated 2009 (17 years in practice)
Group practice Cwip Llc — 7 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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