Active NPI
Ashley P. Merrick, MD
- Pediatrics Physician
- Branson, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 2012008074
- Practice address
- 448 State Highway 248 Ste 140
Branson, MO 65616-3725 - Phone
- (417) 337-9808
- NPI assigned
- Apr 30, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Pediatrics Physician | 208000000X | 2012008074 | MO | Primary |
Addresses
Primary practice location
448 State Highway 248 Ste 140
Branson, MO 65616-3725
Mailing address
448 State Highway 248 Ste 140
Branson, MO 65616-3725
Phone (417) 337-9808
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P01089888 | Other | MO | RR MCR |
| 1306080569 | Medicaid | MO | |
| 431560263 | Other | MO | TRICARE |
| 193957001 | Medicaid | AR |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO, AR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Arts, Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2012008074 | MO | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Arkansas Regional Medical Center | Current | Accepting new patients | |
| Mercy Clinic Springfield Communities | Current | Accepting new patients | |
| Mercy Clinic Springfield Communities | Current | Accepting new patients | |
| North Arkansas Regional Medical Center | Current | Accepting new patients | |
| Mercy Clinic Springfield Communities | Current | Accepting new patients | |
| Ozarks Medical Center | Past | Accepting new patients |
Locations
620 N Main St
Ste 2B
Harrison, AR 72601
Phone (870) 414-4000
724 N Spring St
Ste A
Harrison, AR 72601
Phone (870) 365-0850
448 State Highway 248
Ste 140
Branson, MO 65616
Phone (417) 337-9808
448 State Highway 248
Ste 110
Branson, MO 65616
Phone (417) 337-9808
1605 Martin Springs Dr
Rolla, MO 65401
Phone (573) 458-6379
1605 Martin Springs Dr
Ste 330
Rolla, MO 65401
Phone (573) 458-6379
620 S Glenstone Ave
Springfield, MO 65802
Phone (417) 829-4215
3231 S National Ave
Ste 100
Springfield, MO 65807
Phone (417) 841-0116
2115 S Fremont Ave
Ste 3050
Springfield, MO 65804
Phone (417) 820-3905
Interoperability endpoints
- amerrick271783@directb.mercy.net
Organizations & group practices 6
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.
-
- Family Medicine Physician
- Springfield, MO
- NPI 1245277631
-
- Rural Health Clinic/Center
- Willow Springs, MO
- NPI 1972771657
-
- Primary Care Clinic/Center
- Harrison, AR
- NPI 1588345243
-
- Family Medicine Physician
- Hollister, MO
- NPI 1053350454
-
- Family Medicine Physician
- Harrison, AR
- NPI 1619633351
-
- General Acute Care Hospital
- West Plains, MO
- NPI 1831115641
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1241049600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1581033600000",
"number": "1306080569",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "448 STATE HIGHWAY 248 STE 140",
"city": "BRANSON",
"state": "MO",
"postal_code": "656163725",
"telephone_number": "417-337-9808"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "448 STATE HIGHWAY 248 STE 140",
"city": "BRANSON",
"state": "MO",
"postal_code": "656163725",
"telephone_number": "417-337-9808"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MERRICK",
"first_name": "ASHLEY",
"middle_name": "P.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-04-30",
"last_updated": "2020-02-07",
"certification_date": "2020-02-07",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "MO",
"license": "2012008074",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MCR",
"identifier": "P01089888",
"state": "MO"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1306080569",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRICARE",
"identifier": "431560263",
"state": "MO"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "193957001",
"state": "AR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Branson, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2020; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.