Individual provider Active NPI

Ashley Michelle Lilienkamp, NP-C

  • Family Nurse Practitioner
  • Webb City, MO
National Provider Identifier
1427446202
Registry record updated Oct 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
2014044180 Issued in MO
Practice address
112 N Webb St
Webb City, MO 64870-1916
Phone
(417) 673-0366
Fax
(417) 673-0093
NPI assigned
Jan 2, 2015
Last updated
Oct 16, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 2014044180 MO Primary

Addresses

Primary practice location

112 N Webb St
Webb City, MO 64870-1916

Mailing address

112 N Webb St
Webb City, MO 64870-1916
Phone (417) 673-0366

Other names 1

  • Ashley Michelle Benford Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ALILIENKAMP@OCHHOSPITAL.HIN.US

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20150309002314 MO Practitioner - Nurse Practitioner 7012233133 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Missouri, Kansas City, School of Medicine, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sgoh Acquisition IncGroup PAC ID 5092616276, 95 clinicians

Practice addresses (Care Compare)

327 E Airport Dr
Carthage, MO 64836-3402
Phone (417) 237-0604

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Sgoh Acquisition Inc CurrentSince Feb 2, 2019 Accepting new patients
Sgoh Acquisition Inc CurrentSince Feb 2, 2019 Accepting new patients
Cornerstone Medical, LLC PastSince Oct 2, 2022 Accepting new patients

Locations

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

327 E Airport Dr
Carthage, MO 64836
Phone (417) 237-0604

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

112 N Webb St
Webb City, MO 64870
Phone (417) 673-0366

Interoperability endpoints

  • Direct secure messaging: alilienkamp@ochhospital.hin.us
  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 3

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1420156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697414400000",
    "number": "1427446202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 N WEBB ST",
            "city": "WEBB CITY",
            "state": "MO",
            "postal_code": "648701916",
            "telephone_number": "417-673-0366",
            "fax_number": "417-673-0093"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 N WEBB ST",
            "city": "WEBB CITY",
            "state": "MO",
            "postal_code": "648701916",
            "telephone_number": "417-673-0366",
            "fax_number": "417-673-0093"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LILIENKAMP",
        "first_name": "ASHLEY",
        "middle_name": "MICHELLE",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-01-02",
        "last_updated": "2023-10-16",
        "certification_date": "2023-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "2014044180",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ALILIENKAMP@OCHHOSPITAL.HIN.US",
            "affiliation": "N",
            "address_1": "112 N Webb St",
            "city": "Webb City",
            "state": "MO",
            "country_code": "US",
            "postal_code": "648701916",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "ASHLEY",
            "last_name": "BENFORD",
            "middle_name": "MICHELLE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Webb City, MO

Sources for this page

Verify at the official NPI Registry.