Individual provider Active NPI

Ashley Nichole Whitt, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Springfield, MO
National Provider Identifier
1831962117
Registry record updated Sep 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
2023043289 Issued in MO
Practice address
3600 S National Ave
Springfield, MO 65807-7311
Phone
(417) 322-6622
Fax
(417) 350-1935
NPI assigned
Oct 30, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 2014006854 MO
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 226636 AR
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 2023043289 MO Primary

Addresses

Primary practice location

3600 S National Ave
Springfield, MO 65807-7311

Mailing address

3600 S National Ave
Springfield, MO 65807-7311
Phone (417) 322-6622

Other practice location 1

1505 E Bradford Pkwy
Springfield, MO 65804-6566
Phone (417) 322-6622

Other practice location 2

5548 N Farmer Branch Rd
Ozark, MO 65721-5315
Phone (417) 322-6622

Other practice location 3

2005 W Elm St
Rogers, AR 72758-4018
Phone (417) 322-6622

Other identifiers 2

IdentifierTypeStateIssuer
312675758MedicaidAR
420133134MedicaidMO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, AR2 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
I20231114000262 MO Practitioner - Nurse Practitioner 5698122604 Reassigns benefits to 1 organization
I20231229001011 AR Practitioner - Nurse Practitioner 5698122604 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Honour Brite LLCGroup PAC ID 3971864588, 14 clinicians

Practice addresses (Care Compare)

2005 W Elm St
Eustasis Psychiatric and Addiction Health
Rogers, AR 72758-4018
Phone (479) 427-7722

3600 S National Ave
Eustasis Psychiatric and Addiction
Springfield, MO 65807-7311
Phone (417) 322-6622

Merit-based Incentive Payment System (MIPS)

Final score
94.1 of 100Reported as group
Quality
82.5
Promoting interoperability
100
Improvement activities
40
Cost
81.16

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2014006854MOMDRegistered Nurse
226636ARMDPsychiatric/Mental Health Nurse Practitioner
2023043289MOMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Honour Brite LLC Psychiatric/Mental Health CurrentSince Nov 1, 2023 Accepting new patients
Eustasis Foundation, Inc PastSince Aug 30, 2020 Accepting new patients

Locations

2005 W Elm St
Rogers, AR 72758
Phone (479) 427-7722

5548 N Farmer Branch Rd
Ozark, MO 65721
Phone (417) 269-2215

3100 S National Ave
Ste 103
Springfield, MO 65807
Phone (417) 322-6622

1505 E Bradford Pkwy
Springfield, MO 65804
Phone (417) 281-0053

3600 S National Ave
Springfield, MO 65807
Phone (417) 322-6622

Interoperability endpoints

  • Direct secure messaging: ashley.whitt.1@21190.direct.athenahealth.com

Organizations & group practices 2

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": "1698624000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726531200000",
    "number": "1831962117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3600 S NATIONAL AVE",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658077311",
            "telephone_number": "417-322-6622",
            "fax_number": "417-350-1935"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3600 S NATIONAL AVE",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658077311",
            "telephone_number": "417-322-6622",
            "fax_number": "417-350-1935"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1505 E Bradford Pkwy",
            "address_purpose": "LOCATION",
            "city": "Springfield",
            "state": "MO",
            "postal_code": "658046566",
            "country_code": "US",
            "telephone_number": "417-322-6622",
            "fax_number": "417-350-1935",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5548 N Farmer Branch Rd",
            "address_purpose": "LOCATION",
            "city": "Ozark",
            "state": "MO",
            "postal_code": "657215315",
            "country_code": "US",
            "telephone_number": "417-322-6622",
            "fax_number": "417-350-1935",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2005 W Elm St",
            "address_purpose": "LOCATION",
            "city": "Rogers",
            "state": "AR",
            "postal_code": "727584018",
            "country_code": "US",
            "telephone_number": "417-322-6622",
            "fax_number": "417-350-1935",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WHITT",
        "first_name": "ASHLEY",
        "middle_name": "NICHOLE",
        "credential": "PMHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-10-30",
        "last_updated": "2024-09-17",
        "certification_date": "2024-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MO",
            "license": "2014006854",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "AR",
            "license": "226636",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MO",
            "license": "2023043289",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "312675758",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "420133134",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, MO

Sources for this page

Verify at the official NPI Registry.