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

Merri Doretha Ellison

Individual provider Nurse Practitioner · NPI 1780987032

Merri Doretha Ellison is a Nurse Practitioner in Washington, District of Columbia. Qualified in 2009, 17 years ago. Practices with Central Mississippi Civic Improvement Association, Inc, a 50-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Alabama and District of Columbia.

Years since qualifying
17
Licensed in
AL, DC
In the registry since
2010
Specialties on file
2
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Practice location Address checks out

2350 Washington Pl NE
Washington, DC 20018-1070
Phone: (202) 544-7580
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1845 Cherry St, Montgomery, AL 36107-2613 — (334) 420-5001

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence NP500021596 (DC)
Nurse Practitioner Taxonomy 363L00000X · Licence 1105095 (AL)

Record details

NPI number1780987032
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedDecember 8, 2010
Last updated in NPPESJanuary 21, 2025
Certification dateJanuary 21, 2025

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2009 (17 years in practice)
Group practice Central Mississippi Civic Improvement Association, Inc — 50 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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