Individual provider Active NPI

Dustin Lynn Ashmore, APRN

  • Family Nurse Practitioner
  • Pittsburg, KS
National Provider Identifier
1497122444
Registry record updated Aug 25, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
53-76905-071 Issued in KS
Practice address
2711 S Rouse St
Ste F
Pittsburg, KS 66762-6620
Phone
(620) 232-9000
NPI assigned
Aug 25, 2015
Last updated
Aug 25, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2015

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 53-76905-071 KS Primary

Addresses

Primary practice location

2711 S Rouse St
Ste F
Pittsburg, KS 66762-6620

Mailing address

2711 S Rouse St
Ste F
Pittsburg, KS 66762-6620
Phone (620) 232-9000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
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
I20150930000767 KS Practitioner - Nurse Practitioner 7719295435 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mercy Clinic Pittsburg LLCGroup PAC ID 7618418088, 45 clinicians

Practice addresses (Care Compare)

1 Medical Ctr Cir a
Mercy Clinic Pittsburg
Pittsburg, KS 66762-6711
Phone (620) 231-6100

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
53-76905-071KSMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Clinic Pittsburg LLC CurrentSince Feb 17, 2025 Accepting new patients
Minimally Invasive and Bariatric Surgery, LLC CurrentSince Aug 25, 2015 Accepting new patients
Southeast Kansas Surgical Group, PA PastSince Aug 25, 2015 Accepting new patients
Ascension Via Christi Hospital Pittsburg, Inc. PastSince May 20, 2013 Accepting new patients

Locations

2711 S Rouse St
Ste B
Pittsburg, KS 66762
Phone (620) 230-0044

2711 S Rouse St
Ste F
Pittsburg, KS 66762
Phone (620) 232-9000

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/CIBACD

Organizations & group practices 4

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 1

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": "1440460800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1440460800000",
    "number": "1497122444",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2711 S ROUSE ST",
            "address_2": "STE F",
            "city": "PITTSBURG",
            "state": "KS",
            "postal_code": "667626620",
            "telephone_number": "620-232-9000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2711 S ROUSE ST",
            "address_2": "STE F",
            "city": "PITTSBURG",
            "state": "KS",
            "postal_code": "667626620",
            "telephone_number": "620-232-9000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ASHMORE",
        "first_name": "DUSTIN",
        "middle_name": "LYNN",
        "name_prefix": "Mr.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-08-25",
        "last_updated": "2015-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KS",
            "license": "53-76905-071",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsburg, KS

Sources for this page

Verify at the official NPI Registry.