KERI ASHMORE NP
NPI 1891593315
Nurse Practitioner - Family in Mount Vernon, IL

Active since March 03, 2025PECOS EnrolledAccepts Medicare Assignment
1 GOOD SAMARITAN WAY, MOUNT VERNON, IL 62864(618) 899-1255 Get Directions Write a Review

NPPES record last updated: March 3, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Keri Ashmore Np NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KERI ASHMORE NP (NPI 1891593315) is an individual family provider in Mount Vernon, Illinois, licensed in Illinois (209031754) and active in the NPI registry since March 2025. She is enrolled in Medicare PECOS, is affiliated with Ssm Health St Mary's Hospital -centralia, and is a graduate of Other (2024).

NPPES Registry Identity

NPI1891593315
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameKERI ASHMORECredential: NP
Location Address1 GOOD SAMARITAN WAYMount Vernon, IL 62864-2402
Mailing Address502 W Richland AveEffingham, IL 62401-2554 · (217) 218-8426
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateMarch 3, 2025
NPPES CertifiedMarch 3, 2025
✔ NPI 1891593315 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in IL · 209031754
1 GOOD SAMARITAN WAY, Mount Vernon, IL 62864

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Keri Ashmore Np is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3072024314
PECOS Enrollment IDI20250613003432
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

2

Medicare enrollment records show Keri Ashmore reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Emergency Medicine
605 N 12TH ST
Mount Vernon, IL 62864
  • Reassigned Medicare billing, Illinois enrollment
  • 81 clinicians in this Medicare group
Emergency Medicine
400 NORTH PLEASANT AVENUE
Centralia, IL 62801
  • Reassigned Medicare billing, Illinois enrollment
  • 69 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Ssm Health St Mary's Hospital -Centralia

Acute Care Hospitals · Centralia, IL
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number140034
Location400 North Pleasant AvenueCentralia, IL 62801 · Marion County
Emergency services

Good Samaritan Regional Hlth Center

Acute Care Hospitals · Mount Vernon, IL
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140046
Location1 Good Samaritan WayMount Vernon, IL 62864 · Jefferson County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62864 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$85.71 typical visit price
range $54.80 – $168.44
Typical copayment $21.42 (range $13.70 – $42.11)
Most-billed visit code 99203
Established Patient
$97.25 typical visit price
range $17.16 – $136.56
Typical copayment $24.31 (range $4.29 – $34.14)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Internal Medicine (Interventional Cardiology)
1 GOOD SAMARITAN WAY
MOUNT VERNON, IL 62864
Internal Medicine
1 GOOD SAMARITAN WAY
MOUNT VERNON, IL 62864
Rehabilitation Unit
1 GOOD SAMARITAN WAY
MOUNT VERNON, IL 62864
Pathology (Anatomic Pathology & Clinical Pathology)
1 GOOD SAMARITAN WAY
MOUNT VERNON, IL 62864
Pharmacist
1 GOOD SAMARITAN WAY
MOUNT VERNON, IL 62864
Radiology (Body Imaging)
1 GOOD SAMARITAN WAY, ATTN RADIOLOGY DEPT
MOUNT VERNON, IL 62864
Specialist
1 GOOD SAMARITAN WAY
MOUNT VERNON, IL 62864
Pharmacist
1 GOOD SAMARITAN WAY
MOUNT VERNON, IL 62864

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Keri Ashmore's NPI number?

The NPI number for Keri Ashmore is 1891593315. It was assigned to this individual provider in the NPPES registry on March 3, 2025.

Where is Keri Ashmore located?

Keri Ashmore practices at 1 Good Samaritan Way, Mount Vernon, IL 62864. The listed phone number is (618) 899-1255.

What is Keri Ashmore's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Keri Ashmore enrolled in Medicare?

Yes. Keri Ashmore is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Keri Ashmore's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Keri Ashmore reassigns Medicare benefits to 2 organizations: Midwest Emergency Good Samaritan, Inc (Mount Vernon, IL) and Midwest Emergency Centralia Campus Associates, Inc (Centralia, IL). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Keri Ashmore's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Keri Ashmore affiliated with any hospitals?

According to CMS data, Keri Ashmore is affiliated with Ssm Health St Mary's Hospital -Centralia and Good Samaritan Regional Hlth Center.

When was this NPI record last updated?

The NPPES record for Keri Ashmore was last updated on March 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.