Ashlynn Vonderheide, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

2023049463 Issued in MO

Practice address

120 W 16TH St
Mountain Grove, MO 65711-1039

Phone

(417) 926-6111

NPI assigned

Dec 20, 2023

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MO

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Douglas County Public Health Services Group, Inc. 25 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Douglas County Public Health Services Group, Inc.

  • Federally Qualified Health Center (FQHC)
  • Mansfield, MO
  • NPI 1912904004

  MO

  Medicare reassignment Care Compare group NPD
• Douglas County Public Health Services Group, Inc.

  • Federally Qualified Health Center (FQHC)
  • Mountain Grove, MO
  • NPI 1518342153
  Care Compare group NPD
• Douglas County Public Health Services Group, Inc.

  • Federally Qualified Health Center (FQHC)
  • Houston, MO
  • NPI 1326585761
  Care Compare group
• Douglas County Public Health Services Group, Inc.

  • Federally Qualified Health Center (FQHC)
  • Gainesville, MO
  • NPI 1598762593
  Care Compare group
• Douglas County Public Health Services Group, Inc.

  • Family Medicine Physician
  • Licking, MO
  • NPI 1629639109
  Care Compare group
• Douglas County Public Health Services Group, Inc.

  • Federally Qualified Health Center (FQHC)
  • Cabool, MO
  • NPI 1710221130
  Care Compare group
• Douglas County Public Health Services Group, Inc.

  • Federally Qualified Health Center (FQHC)
  • Ava, MO
  • NPI 1912904145
  Care Compare group
• Ozarks Medical Center

  • General Acute Care Hospital
  • West Plains, MO
  • NPI 1831115641
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1703030400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703030400000",
    "number": "1245009182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 W 16TH ST",
            "city": "MOUNTAIN GROVE",
            "state": "MO",
            "postal_code": "657111039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 W 16TH ST",
            "city": "MOUNTAIN GROVE",
            "state": "MO",
            "postal_code": "657111039",
            "telephone_number": "417-926-6111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VONDERHEIDE",
        "first_name": "ASHLYNN",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-12-20",
        "last_updated": "2023-12-20",
        "certification_date": "2023-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "2023049463",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Wal-Mart Stores East LP
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• Christina M Welton, NP-C
• Sheryl Sue Whipple
• Sheena Kay White, FNP-BC

• All providers in Mountain Grove, MO
• Family Nurse Practitioner in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.