Active NPI
Adrienne L Merrick, CRNA
- Certified Registered Nurse Anesthetist
- Dayton, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- RN378232
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000001027762 | Other | IN | ANTHEM PROVIDER NUMBER |
| 0080856 | Medicaid | OH | |
| 201368570 | Medicaid | IN |
Other names 1
- Adrienne L Lafollette
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| CERT 92108 | IN | MD | Certified Registered Nurse Anesthetist |
| RN378232 | OH | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hendricks County Hospital | Current | Accepting new patients | |
| Arnett Clinic, LLC | Current | Accepting new patients | |
| Arnett Clinic, LLC | Current | Accepting new patients | |
| Hendricks County Hospital | Current | Accepting new patients | |
| Indiana Anesthesia, LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Iu Health Medical Group, LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Hendricks County Hospital | Current | Accepting new patients | |
| Jebs Anesthesia Consultants, LLC | Current | Accepting new patients | |
| Amsurg Indianapolis Anesthesia LLC | Current | Accepting new patients | |
| Arnett Clinic, LLC | Current | 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.
-
- Internal Medicine Physician
- Lafayette, IN
- NPI 1164490843
-
dba HRH Associate Health
- General Practice Physician
- Danville, IN
- NPI 1497536163
-
- Certified Registered Nurse Anesthetist
- Indianapolis, IN
- NPI 1871182477
Nurse Anesthetist, Certified Registered
-
- General Practice Physician
- Indianapolis, IN
- NPI 1326893777
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Indianapolis, IN
- NPI 1487056388
-
- Anesthesiology Physician
- La Porte, IN
- NPI 1790447761
-
- Durable Medical Equipment & Medical Supplies
- Lafayette, IN
- NPI 1699839563
-
- Clinical Medical Laboratory
- Lafayette, IN
- NPI 1881655090
-
dba Hendricks Pediatrics of Brownsburg
- Pediatrics Physician
- Brownsburg, IN
- NPI 1508758210
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba IU Health Arnett Hospital
- General Acute Care Hospital
- Lafayette, IN
- NPI 1326296211
-
- Critical Access Hospital
- Frankfort, IN
- NPI 1346774270
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.