Individual provider Active NPI

Adrienne L Merrick, CRNA

  • Certified Registered Nurse Anesthetist
  • Dayton, OH
National Provider Identifier
1447594858
Registry record updated Jan 5, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
RN378232 Issued in OH
Practice address
2222 Philadelphia Dr
Dayton, OH 45406-1813
Phone
(937) 734-2612
Fax
(937) 567-4163
NPI assigned
Nov 26, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2017

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X RN378232 OH Primary
Certified Registered Nurse Anesthetist 367500000X CERT 92108 IN
Registered Nurse 163W00000X 28174773A IN

Addresses

Primary practice location

2222 Philadelphia Dr
Dayton, OH 45406-1813

Mailing address

PO Box 640446
Cincinnati, OH 45264-0446
Phone (717) 263-5562

Other identifiers 3

IdentifierTypeStateIssuer
000001027762OtherINANTHEM PROVIDER NUMBER
0080856MedicaidOH
201368570MedicaidIN

Other names 1

  • Adrienne L Lafollette Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160708000052 IN Practitioner - Certified Registered Nurse Anesthetist (Crna) 8325286511 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hendricks County HospitalGroup PAC ID 4880505528, 341 clinicians
Iu Health Medical Group LLCGroup PAC ID 9638617913, 4,382 clinicians
Arnett Clinic LLCGroup PAC ID 0749184380, 401 clinicians
Indiana Anesthesia LLCGroup PAC ID 3274940846, 8 clinicians

Practice addresses (Care Compare)

1000 E Main St
Hendricks Regional Health
Danville, IN 46122-1948
Phone (317) 745-4450

1701 N Senate Blvd
Indianapolis, IN 46202-1239
Phone (888) 484-3258

2600 Greenbush St
Lafayette, IN 47904-2477
Phone (765) 448-8000

9202 N Meridian St
Suite 150
Indianapolis, IN 46260-1833
Phone (317) 841-2020

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
CERT 92108INMDCertified Registered Nurse Anesthetist
RN378232OHMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Hendricks County Hospital Current Accepting new patients
Arnett Clinic, LLC CurrentSince Jul 1, 2016 Accepting new patients
Arnett Clinic, LLC Current Accepting new patients
Hendricks County Hospital CurrentSince Nov 6, 2023 Accepting new patients
Indiana Anesthesia, LLC Nurse Anesthetist, Certified Registered CurrentSince Nov 1, 2021 Accepting new patients
Iu Health Medical Group, LLC Nurse Anesthetist, Certified Registered CurrentSince Jan 1, 2026 Accepting new patients
Hendricks County Hospital CurrentSince Nov 6, 2023 Accepting new patients
Jebs Anesthesia Consultants, LLC CurrentSince Mar 31, 2025 Accepting new patients
Amsurg Indianapolis Anesthesia LLC CurrentSince May 17, 2024 Accepting new patients
Arnett Clinic, LLC CurrentSince Jul 1, 2016 Accepting new patients

Locations

8016 Reliable Pkwy
Chicago, IL 60686

8057 Collection Ctr Dr
Chicago, IL 60693

8244 E US Highway 36
Ste 1340
Avon, IN 46123
Phone (317) 520-5510

8244 E US Highway 36
Ste 1100
Avon, IN 46123
Phone (317) 272-7500

1000 E Main St
#1000
Danville, IN 46122

1000 E Main St
Danville, IN 46122
Phone (317) 745-3420

30 N Emerson Ave
Greenwood, IN 46143
Phone (317) 881-3937

9202 N Meridian St
Ste 150
Indianapolis, IN 46260
Phone (317) 841-2020

1701 Senate Blvd
Indianapolis, IN 46202
Phone (317) 612-2754

8424 Naab Rd
Indianapolis, IN 46260
Phone (317) 871-7308

1601 W Lincoln Rd
Kokomo, IN 46902
Phone (765) 453-5696

1400 Teal Rd
Ste 7
Lafayette, IN 47905
Phone (765) 474-0272

2600 Greenbush St
Lafayette, IN 47904

4020 Edison Lakes Pkwy
Mishawaka, IN 46545
Phone (574) 228-5490

3212 Hickory Rd
Ste A
Mishawaka, IN 46545
Phone (574) 251-0498

5091 W Bethel Ave
Ste 100
Muncie, IN 47304
Phone (765) 286-8888

Organizations & group practices 10

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.

Hospital & facility affiliations 2

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": "1353888000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1483574400000",
    "number": "1447594858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 640446",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452640446",
            "telephone_number": "717-263-5562",
            "fax_number": "717-263-1566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2222 PHILADELPHIA DR",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454061813",
            "telephone_number": "937-734-2612",
            "fax_number": "937-567-4163"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MERRICK",
        "first_name": "ADRIENNE",
        "middle_name": "L",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-11-26",
        "last_updated": "2017-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "OH",
            "license": "RN378232",
            "primary": true
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "IN",
            "license": "CERT 92108",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "IN",
            "license": "28174773A",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM PROVIDER NUMBER",
            "identifier": "000001027762",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0080856",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201368570",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ADRIENNE",
            "last_name": "LAFOLLETTE",
            "middle_name": "L",
            "credential": "CRNA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Dayton, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.