Individual provider Active NPI

Ashlee Rossner

  • Psychiatric/Mental Health Nurse Practitioner
  • Springfield, MO
National Provider Identifier
1912320862
Registry record updated Jan 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
2019043760 Issued in MO
Practice address
618 N Benton Ave
Springfield, MO 65806-1102
Phone
(417) 851-1563
Fax
(417) 831-8033
NPI assigned
Jan 29, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 201400710 MO
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 2019043760 MO Primary

Addresses

Primary practice location

618 N Benton Ave
Springfield, MO 65806-1102

Mailing address

440 E Tampa St
Springfield, MO 65806-1131
Phone (417) 831-0150

Other practice location 1

440 E Tampa St
Springfield, MO 65806-1131
Phone (417) 851-1563

Other identifiers 3

IdentifierTypeStateIssuer
420011513MedicaidMO
2010006881OtherMOSTATE LICENSE
2019043760OtherMOSTATE LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
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
I20140313001490 MO Practitioner - Nurse Practitioner 2466682430 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

440 E Tampa St
Springfield, MO 65806-1131
Phone (417) 831-0150

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
201400710MOMDFamily Nurse Practitioner
2019043760MOMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Advocates for a Healthy Community Inc CurrentSince Aug 1, 2017 Accepting new patients
Advocates for a Healthy Community, Inc CurrentSince Aug 1, 2017 Accepting new patients
Advocates for a Healthy Community, Inc. Past Accepting new patients

Locations

119 N Ash St
Buffalo, MO 65622
Phone (417) 269-2200

440 E Tampa St
Springfield, MO 65806
Phone (417) 831-0191

618 N Benton Ave
Springfield, MO 65806
Phone (417) 851-1563

Interoperability endpoints

  • Direct secure messaging: ashlee.rossner.p1@direct.jordanvalley.nextgenshare.com
  • Direct secure messaging: arossner694634@direct.ochin.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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1390953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578873600000",
    "number": "1912320862",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "440 E TAMPA ST",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658061131",
            "telephone_number": "417-831-0150",
            "fax_number": "417-831-8033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "618 N BENTON AVE",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658061102",
            "telephone_number": "417-851-1563",
            "fax_number": "417-831-8033"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "440 E Tampa St",
            "address_purpose": "LOCATION",
            "city": "Springfield",
            "state": "MO",
            "postal_code": "658061131",
            "country_code": "US",
            "telephone_number": "417-851-1563",
            "fax_number": "417-831-8033",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROSSNER",
        "first_name": "ASHLEE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-01-29",
        "last_updated": "2020-01-13",
        "certification_date": "2020-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "201400710",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MO",
            "license": "2019043760",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "420011513",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "2010006881",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "2019043760",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, MO

Sources for this page

Verify at the official NPI Registry.