Individual provider Active NPI

Ashley Beth Watterson

  • Adult Health Nurse Practitioner
  • Berryville, VA
National Provider Identifier
1003181611
Registry record updated Apr 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
0024171488 Issued in VA
Practice address
115 S Church St
Berryville, VA 22611-1369
Phone
(540) 955-4811
Fax
(540) 955-0976
NPI assigned
Mar 14, 2012
Last updated
Apr 7, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 203742 SC
Adult Health Nurse Practitioner 363LA2200X 0024171488 VA Primary

Addresses

Primary practice location

115 S Church St
Berryville, VA 22611-1369

Mailing address

136 Linden Dr
Suite 104
Winchester, VA 22601-6900
Phone (540) 678-3588

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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
I20140519001073 VA Practitioner - Nurse Practitioner 7618129909 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Cincinnati College of Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dermatology Associates IncGroup PAC ID 2668415357, 6 clinicians

Practice addresses (Care Compare)

1514 Amherst St
Winchester, VA 22601-2803
Phone (540) 667-4499

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
203742SCMDAdult Health Nurse Practitioner
0024171488VAMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Dermatology Associates Inc CurrentSince Mar 1, 2023 Accepting new patients
Beach Urgent Care CurrentSince Sep 16, 2012 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

9820 N Kings Hwy
Myrtle Beach, SC 29572
Phone (843) 449-2273

1514 Amherst St
Winchester, VA 22601
Phone (540) 667-4499

1066 Hisey Ave
Ste 101
Woodstock, VA 22664

Interoperability endpoints

  • Direct secure messaging: a.watterson@dermmds.emadirect.md

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1331683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617753600000",
    "number": "1003181611",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "136 LINDEN DR",
            "address_2": "SUITE 104",
            "city": "WINCHESTER",
            "state": "VA",
            "postal_code": "226016900",
            "telephone_number": "540-678-3588",
            "fax_number": "540-678-9025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 S CHURCH ST",
            "city": "BERRYVILLE",
            "state": "VA",
            "postal_code": "226111369",
            "telephone_number": "540-955-4811",
            "fax_number": "540-955-0976"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WATTERSON",
        "first_name": "ASHLEY",
        "middle_name": "BETH",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-03-14",
        "last_updated": "2021-04-07",
        "certification_date": "2021-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "SC",
            "license": "203742",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "VA",
            "license": "0024171488",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Berryville, VA

Sources for this page

Verify at the official NPI Registry.