Active NPI
Merkessie Redix
- Family Nurse Practitioner
- Little Rock, AR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- A004289
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, KS
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 5
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| A004289 | AR | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Medexpress Urgent Care Arkansas, P.a. | Current | Accepting new patients | |
| MNR Industries LLC | Current | Accepting new patients | |
| Carbon Health Medical Group of Kansas PA | Current | Accepting new patients | |
| MNR Industries LLC | Current | Accepting new patients | |
| MNR Industries, LLC | Current | Accepting new patients | |
| MNR Industries, LLC | Current | Accepting new patients | |
| MNR Industries, LLC | Current | Accepting new patients | |
| Carbon Health Medical Group of Florida PA | Current | Accepting new patients | |
| MNR Industries, LLC | Current | Accepting new patients | |
| Carbon Health Medical Group of Florida PA | Current | Accepting new patients | |
| Neurology Clinic of South Arkansas,PA | Current | Accepting new patients | |
| Medexpress Urgent Care Arkansas, P.a. | Current | Accepting new patients | |
| Medexpress Urgent Care Arkansas, P.a. | Current | Accepting new patients | |
| Carbon Health Medical Group of Florida PA | Current | 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
- 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.
-
- Urgent Care Clinic/Center
- Kansas City, MO
- NPI 1497357396
KS
-
- Urgent Care Clinic/Center
- Pine Bluff, AR
- NPI 1154784882
-
- Urgent Care Clinic/Center
- Russellville, AR
- NPI 1659769529
-
- Neurological Surgery Physician
- White Hall, AR
- NPI 1124032560
-
- Urgent Care Clinic/Center
- Oro Valley, AZ
- NPI 1396317079
-
- Urgent Care Clinic/Center
- Mount Airy, MD
- NPI 1073963146
-
- Urgent Care Clinic/Center
- Laurel, MD
- NPI 1164827663
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.