Individual provider Active NPI

Ashlea Nicole Ritter, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Neosho, MO
National Provider Identifier
1396464475
Registry record updated Jun 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
221708 Issued in AR
Practice address
129 E Main St
Neosho, MO 64850-1810
Phone
(417) 389-9081
Fax
(417) 250-2665
NPI assigned
Aug 23, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 2022044579 MO
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 221708 AR Primary

Addresses

Primary practice location

129 E Main St
Neosho, MO 64850-1810

Mailing address

129 E Main St
Neosho, MO 64850-1810
Phone (417) 553-9885

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR, MO2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20221008000444 AR Practitioner - Nurse Practitioner 7214313691 Reassigns benefits to 3 organizations
I20221212001059 MO Practitioner - Nurse Practitioner 7214313691 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Pure Balance of Nwa PLLCGroup PAC ID 6901344928, 8 clinicians

Practice addresses (Care Compare)

13221 Jay Dr
Suite C
Neosho, MO 64850-8091
Phone (417) 389-9081

3608 W Southern Hills Blvd
Rogers, AR 72758-8013

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
2022044579MOMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Sgoh Acquisition Inc CurrentSince Sep 1, 2022 Accepting new patients
Liminal Psychiatry LLC Psychiatric/Mental Health CurrentSince Jan 1, 2026 Accepting new patients
Sgoh Acquisition Inc CurrentSince Dec 1, 2022 Accepting new patients
Pure Balance of Nwa PLLC CurrentSince Aug 1, 2024 Accepting new patients
Sgoh Acquisition Inc CurrentSince Sep 1, 2022 Accepting new patients

Locations

1101 Jackson St SW
Gravette, AR 72736
Phone (479) 787-5221

3608 W Southern Hills Blvd
Ste 4
Rogers, AR 72758
Phone (479) 318-2382

106 S Hickory St
Mount Vernon, MO 65712
Phone (417) 466-4110

129 E Main St
Neosho, MO 64850
Phone (417) 389-9081

1355 Rocketdyne Rd
Neosho, MO 64850
Phone (417) 451-2240

13221 Jay Dr
Ste C
Neosho, MO 64850
Phone (417) 389-9081

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1661212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782432000000",
    "number": "1396464475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "129 E MAIN ST",
            "city": "NEOSHO",
            "state": "MO",
            "postal_code": "648501810",
            "telephone_number": "417-553-9885",
            "fax_number": "417-250-2665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "129 E MAIN ST",
            "city": "NEOSHO",
            "state": "MO",
            "postal_code": "648501810",
            "telephone_number": "417-389-9081",
            "fax_number": "417-250-2665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RITTER",
        "first_name": "ASHLEA",
        "middle_name": "NICOLE",
        "credential": "PMHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-23",
        "last_updated": "2026-06-26",
        "certification_date": "2026-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MO",
            "license": "2022044579",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "AR",
            "license": "221708",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Neosho, MO

Sources for this page

Verify at the official NPI Registry.