What is Merrill Lake's NPI number?

Merrill Lake's National Provider Identifier (NPI) is 1114684016, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Merrill Lake's specialty?

Merrill Lake is listed in the NPPES registry with a primary specialty of Community Health Worker (Other Service Providers).

Where is Merrill Lake located?

Merrill Lake's practice location on file with NPPES is 212 Willow Street, Chevak, AK 99563.

What is Merrill Lake's phone number?

The practice phone number listed in the NPPES registry for Merrill Lake is (907) 858-7069.

Is Merrill Lake's NPI active?

Yes — Merrill Lake's NPI (1114684016) is active in the NPPES registry as of the last update on 2021-11-26.

IndividualActive

Merrill Lake

NPI 1114684016 · Community Health Worker · Chevak, AK

Merrill Lake is a Community Health Worker provider in Chevak, AK (NPI 1114684016).

Provider details

NPI number: 1114684016
Entity type: Individual
Primary specialty: Community Health WorkerOther Service Providers
Sex: Male
Sole proprietor: No

Practice location

212 Willow Street

Chevak, AK 99563

Phone: (907) 858-7069

Fax: (907) 858-7456

Approximate (ZIP-level) locationGet directions

More AK providers

Mailing address

212 Willow Street

Chevak, AK 99563

Specialties & taxonomies

Community Health WorkerPrimary172V00000X
Other Service Providers

Profile Score

Established profile(55/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
4 yrs in NPPES registry
Profile completeness38% of score
83% of core fields populated
Practice footprint23% of score
1 documented practice location

Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.

Enumerated: 2021-11-26
Last updated: 2021-11-26
Certified: 2021-11-12

Frequently asked questions

What is Merrill Lake's NPI number?: Merrill Lake's National Provider Identifier (NPI) is 1114684016, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
What is Merrill Lake's specialty?: Merrill Lake is listed in the NPPES registry with a primary specialty of Community Health Worker (Other Service Providers).
Where is Merrill Lake located?: Merrill Lake's practice location on file with NPPES is 212 Willow Street, Chevak, AK 99563.
What is Merrill Lake's phone number?: The practice phone number listed in the NPPES registry for Merrill Lake is (907) 858-7069.
Is Merrill Lake's NPI active?: Yes — Merrill Lake's NPI (1114684016) is active in the NPPES registry as of the last update on 2021-11-26.

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

Provider details

Practice location

Mailing address

Specialties & taxonomies

Profile Score

Registry dates

Frequently asked questions

Specialties & taxonomies

Profile Score

Frequently asked questions