Individual provider Active NPI

Ashton J. Crook, NP

  • Family Nurse Practitioner
  • Lima, OH
National Provider Identifier
1871849828
Registry record updated Oct 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN.CNP.13607 Issued in OH
Practice address
3224 Jarvis Drive
Lima, OH 45807
Phone
(419) 996-5757
Fax
(419) 996-5913
NPI assigned
Jul 27, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2024

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 APRN.CNP.13607 OH Primary

Addresses

Primary practice location

3224 Jarvis Drive
Lima, OH 45807

Mailing address

3224 Jarvis Drive
Lima, OH 45807
Phone (419) 996-5757

Other identifiers 1

IdentifierTypeStateIssuer
0069499MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20120913000331 OH Practitioner - Nurse Practitioner 7315195542 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mercy Health Physicians Lima, LLCGroup PAC ID 3375607351, 54 clinicians

Practice addresses (Care Compare)

770 W High St
Suite 450
Lima, OH 45801-3962
Phone (419) 996-5633

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN.CNP.13607OHMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Health Physicians Lima Specialty Care LLC CurrentSince May 5, 2021 Accepting new patients
Mercy Health Physicians Lima, LLC CurrentSince Jan 1, 2014 Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients

Locations

3224 Jarvis Rd
Lima, OH 45807
Phone (419) 996-5757

830 W High St
Ste 390
Lima, OH 45801
Phone (419) 995-4960

750 W High St
Ste 150
Lima, OH 45801

967 Bellefontaine Ave
Lima, OH 45804
Phone (419) 224-1330

770 W High St
Ste 450
Lima, OH 45801
Phone (419) 996-5069

Interoperability endpoints

  • Direct secure messaging: acrook60213@direct.bsmhealth.org

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 and National Provider Directory roles.

Hospital & facility affiliations 3

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": "1343347200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728691200000",
    "number": "1871849828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3224 JARVIS DRIVE",
            "city": "LIMA",
            "state": "OH",
            "postal_code": "45807",
            "telephone_number": "419-996-5757",
            "fax_number": "419-996-5913"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3224 JARVIS DRIVE",
            "city": "LIMA",
            "state": "OH",
            "postal_code": "45807",
            "telephone_number": "419-996-5757",
            "fax_number": "419-996-5913"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CROOK",
        "first_name": "ASHTON",
        "middle_name": "J.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-07-27",
        "last_updated": "2024-10-12",
        "certification_date": "2024-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "APRN.CNP.13607",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0069499",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lima, OH

Sources for this page

Verify at the official NPI Registry.