Individual provider Active NPI

Merkessie Redix

  • Family Nurse Practitioner
  • Little Rock, AR
National Provider Identifier
1922491307
Registry record updated Mar 10, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
A004289 Issued in AR
Practice address
14524 Cantrell Rd Ste 160
Little Rock, AR 72223-4673
Phone
(501) 868-4400
NPI assigned
Mar 10, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 10, 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 A004289 AR Primary

Addresses

Primary practice location

14524 Cantrell Rd Ste 160
Little Rock, AR 72223-4673

Mailing address

1307 Brentwood Dr
Pine Bluff, AR 71601-5416
Phone (870) 718-5013

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR, TX, DC, FL, KS5 enrollments
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 5

Enrollment IDStateProvider typePAC IDDetails
I20150330000753 AR Practitioner - Nurse Practitioner 4385961440 Reassigns benefits to 1 organization
I20221228001630 TX Practitioner - Nurse Practitioner 4385961440 Reassigns benefits to 1 organization
I20230127001364 DC Practitioner - Nurse Practitioner 4385961440 Reassigns benefits to 1 organization
I20230128000289 FL Practitioner - Nurse Practitioner 4385961440 Reassigns benefits to 1 organization
I20230206001358 KS Practitioner - Nurse Practitioner 4385961440 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A004289ARMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Medexpress Urgent Care Arkansas, P.a. Current Accepting new patients
MNR Industries LLC CurrentSince Jan 16, 2023 Accepting new patients
Carbon Health Medical Group of Kansas PA CurrentSince Dec 2, 2022 Accepting new patients
MNR Industries LLC Current Accepting new patients
MNR Industries, LLC Current Accepting new patients
MNR Industries, LLC CurrentSince Jan 16, 2023 Accepting new patients
MNR Industries, LLC Current Accepting new patients
Carbon Health Medical Group of Florida PA CurrentSince Sep 15, 2022 Accepting new patients
MNR Industries, LLC CurrentSince Jan 16, 2023 Accepting new patients
Carbon Health Medical Group of Florida PA CurrentSince Apr 1, 2023 Accepting new patients
Neurology Clinic of South Arkansas,PA CurrentSince Dec 22, 2024 Accepting new patients
Medexpress Urgent Care Arkansas, P.a. CurrentSince May 16, 2016 Accepting new patients
Medexpress Urgent Care Arkansas, P.a. CurrentSince May 16, 2016 Accepting new patients
Carbon Health Medical Group of Florida PA CurrentSince Sep 15, 2022 Accepting new patients
Merkessie Redix NP & Company Inc Family Current Accepting new patients
Cloud Health Medical Group, P.a. Past Accepting new patients
Cloud Health Medical Group of California, P.C. Past Accepting new patients

Locations

1160 S 40th St
Springdale, AR 72762
Phone (479) 750-2971

7500 Dollarway Rd
Ste 403
White Hall, AR 71602
Phone (870) 247-4525

2920 Telegraph Ave
Ste 100
Berkeley, CA 94705
Phone (415) 549-0212

4825 SW 148th Ave
Davie, FL 33330
Phone (954) 526-7291

915 W 49th St
Hialeah, FL 33012
Phone (305) 200-1225

4817 W 119th St
Ste 120
Overland Park, KS 66209
Phone (913) 298-2743

1505 E Churchville Rd
#A
Bel Air, MD 21014
Phone (410) 420-6970

6000 Laurel Bowie Rd
Bowie, MD 20715
Phone (301) 383-0330

504 E Ridgeville Blvd
#A
Mount Airy, MD 21771
Phone (301) 703-5452

17903 W Lake Houston Pkwy
Ste 101
Humble, TX 77346
Phone (215) 570-6856

Interoperability endpoints

  • Direct secure messaging: merkessie.redix.1@14883.direct.athenahealth.com

Organizations & group practices 17

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.

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1425945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1425945600000",
    "number": "1922491307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1307 BRENTWOOD DR",
            "city": "PINE BLUFF",
            "state": "AR",
            "postal_code": "716015416",
            "telephone_number": "870-718-5013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14524 CANTRELL RD STE 160",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722234673",
            "telephone_number": "501-868-4400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REDIX",
        "first_name": "MERKESSIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-03-10",
        "last_updated": "2015-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AR",
            "license": "A004289",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Little Rock, AR

Sources for this page

Verify at the official NPI Registry.