Demi Delise Merlino, APRN, MNSC
NPI 1144611922ActiveIndividual· Nurse Practitioner, Acute Care· Fort Smith, AR
Nurse Practitioner, Acute Care (APRN, MNSC) with Mercy Clinic Fort Smith Communities, practicing in Fort Smith, Arkansas. Their prescriptions cost Medicare Part D more than their services did: $645,488 for 5,731 claims, against $62,959 paid for services in 2024. Astrazeneca Pharmaceuticals LP was the largest of 15 companies reporting payments in 2025, $743.98 in all, mostly food and beverage. Lists Mercy Hospital Fort Smith as a hospital affiliation.
Overview
| NPI | 1144611922 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | APRN, MNSC |
| Sole proprietor | No |
| NPI issued | Feb 14, 2015 |
| Last updated in NPPES | Jul 27, 2022 |
| Certified by provider | Jul 27, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Acute Care Primary | 363LA2100X | A004320 | AR |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Nurse Practitioner (AR) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 290 |
|---|---|
| Services billed | 1,652 across 57 procedure codes |
| Paid by Medicare | $62,959 |
Part D prescriptions in 2024
| Prescriptions (claims) | 5,731 · 11,428 30-day fills |
|---|---|
| Patients | 471 |
| Total drug cost | $645,488 |
| Generic share | 84% of claims |
Education and affiliations
| Graduation year | 2014 |
|---|---|
| Medicare specialty | Nurse Practitioner |
| Telehealth | Offers telehealth |
Medical group
- Mercy Clinic Fort Smith CommunitiesFort Smith, AR · 372 clinicians
Hospital affiliation
- Mercy Hospital Fort SmithFort Smith, AR
Other facilities
- Elite Home HealthHome health agency · Fort Smith, AR
Industry payments (Open Payments)
- 2025$743.98 · 52 payments from 15 companies
- 2024$690.39 · 51 payments from 13 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Astrazeneca Pharmaceuticals LP | $230.10 | 21 |
| Amgen Inc. | $68.59 | 4 |
| Novo Nordisk Inc | $67.39 | 4 |
| Pfizer Inc. | $57.42 | 4 |
| Glaxosmithkline, LLC. | $56.45 | 4 |
What the 2025 payments were for
- Food and Beverage$743.98 · 52 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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All 27 acute care nurse practitioners in Fort Smith · All acute care nurse practitioners in Arkansas