Individual provider Active NPI

Merradith Densmore, RN, BSN

  • Psychiatric/Mental Health Nurse Practitioner
  • East Liverpool, OH
National Provider Identifier
1306630439
Registry record updated Apr 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
1205497898 Issued in OH
Practice address
16761 Saint Clair Ave
East Liverpool, OH 43920-9400
Phone
(855) 296-1286
NPI assigned
Apr 4, 2025
Last updated
Apr 4, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 1205497898 OH Primary

Addresses

Primary practice location

16761 Saint Clair Ave
East Liverpool, OH 43920-9400

Mailing address

215 S Beaver St
Lisbon, OH 44432-1203
Phone (330) 383-4639

Other names 1

  • Ms. Merradith Davison Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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

Enrollment IDStateProvider typePAC IDDetails
I20250904001165 OH Practitioner - Nurse Practitioner 9537661178 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Aspire Mental Health LLCGroup PAC ID 7315323987, 20 clinicians

Practice addresses (Care Compare)

16761 Saint Clair Ave
Suite 2
East Liverpool, OH 43920-9400
Phone (330) 932-1823

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Bachelor on Science - Nursing, Registered Nurse

State licenses

LicenseStateTypeSpecialty
1205497898OHMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Aspire Mental Health LLC Psychiatric/Mental Health CurrentSince Aug 1, 2025 Accepting new patients

Locations

16761 Saint Clair Ave
Ste 2
East Liverpool, OH 43920
Phone (330) 385-9670

236 W 6th St
East Liverpool, OH 43920
Phone (330) 386-7870

2400 Southeast Blvd
Ste B
Salem, OH 44460
Phone (330) 332-8801

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1743724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743724800000",
    "number": "1306630439",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 S BEAVER ST",
            "city": "LISBON",
            "state": "OH",
            "postal_code": "444321203",
            "telephone_number": "330-383-4639"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16761 SAINT CLAIR AVE",
            "city": "EAST LIVERPOOL",
            "state": "OH",
            "postal_code": "439209400",
            "telephone_number": "855-296-1286"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DENSMORE",
        "first_name": "MERRADITH",
        "name_prefix": "Mrs.",
        "credential": "RN, BSN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-04-04",
        "last_updated": "2025-04-04",
        "certification_date": "2025-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "OH",
            "license": "1205497898",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MERRADITH",
            "last_name": "DAVISON",
            "prefix": "MS.",
            "credential": "RN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in East Liverpool, OH

Sources for this page

Verify at the official NPI Registry.