Individual provider Active NPI

Ashley Nicole Parks, FNP-C

  • Family Nurse Practitioner
  • Mount Vernon, MO
National Provider Identifier
1942966999
Registry record updated Nov 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
2021044691 Issued in MO
Practice address
1319 S Landrum St Ste a
Mount Vernon, MO 65712-1976
Phone
(417) 466-2001
NPI assigned
Nov 15, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 22, 2021

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 2021044691 MO Primary

Addresses

Primary practice location

1319 S Landrum St Ste a
Mount Vernon, MO 65712-1976

Mailing address

1319 S Landrum St Ste a
Mount Vernon, MO 65712-1976
Phone (417) 466-2001

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
I20211123000927 MO Practitioner - Nurse Practitioner 3476942947 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Mercy Clinic Springfield CommunitiesGroup PAC ID 7416865845, 1,121 clinicians

Practice addresses (Care Compare)

1319 S Landrum St
Suite a
Mount Vernon, MO 65712-1976
Phone (417) 466-2001

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2021044691MOMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Clinic Springfield Communities Family CurrentSince Dec 1, 2021 Accepting new patients
Mercy Clinic Springfield Communities CurrentSince Dec 1, 2021 Accepting new patients
Mercy Clinic Springfield Communities Past Accepting new patients

Locations

550 S Hudson Ave
Aurora, MO 65605
Phone (417) 678-0632

1307 S Main St
Lockwood, MO 65682
Phone (417) 232-4560

1319 S Landrum St
Ste A
Mount Vernon, MO 65712
Phone (417) 466-2001

1605 Martin Springs Dr
Rolla, MO 65401
Phone (573) 458-6379

1605 Martin Springs Dr
Ste 330
Rolla, MO 65401
Phone (573) 458-6379

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 10

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": "1636934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637539200000",
    "number": "1942966999",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1319 S LANDRUM ST STE A",
            "city": "MOUNT VERNON",
            "state": "MO",
            "postal_code": "657121976",
            "telephone_number": "417-466-2001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1319 S LANDRUM ST STE A",
            "city": "MOUNT VERNON",
            "state": "MO",
            "postal_code": "657121976",
            "telephone_number": "417-466-2001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARKS",
        "first_name": "ASHLEY",
        "middle_name": "NICOLE",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-11-15",
        "last_updated": "2021-11-22",
        "certification_date": "2021-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "2021044691",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Vernon, MO

Sources for this page

Verify at the official NPI Registry.