Individual provider Active NPI

Ashley McCoy, APRN

  • Family Nurse Practitioner
  • Russellville, AR
National Provider Identifier
1013524388
Registry record updated Mar 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
212972 Issued in AR
Practice address
209 S Portland Ave
Russellville, AR 72801-2339
Phone
(501) 906-0000
NPI assigned
Sep 30, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2022

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 212972 AR Primary

Addresses

Primary practice location

209 S Portland Ave
Russellville, AR 72801-2339

Mailing address

PO Box 55050
Little Rock, AR 72215-5050
Phone (501) 906-3000

Other practice location 1

8901 Carti Way
Little Rock, AR 72205-6523
Phone (501) 906-3000

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ashley.mccoy@carti.OncoEMRDirect.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR
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
I20201105002647 AR Practitioner - Nurse Practitioner 5698185478 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Central Arkansas Radiation Therapy Institute IncGroup PAC ID 7810068400, 89 clinicians

Practice addresses (Care Compare)

10411 W Markham St
Little Rock, AR 72205-1400
Phone (501) 906-3000

1100 E Poplar St
Clarksville, AR 72830-4419
Phone (501) 906-3000

209 S Portland Ave
Russellville, AR 72801-2339
Phone (501) 906-3000

2500 Hwy 65 S
Clinton, AR 72031-6588
Phone (501) 906-3000

8901 Carti Way
Little Rock, AR 72205-6323

8901 Carti Way
Little Rock, AR 72205-6523
Phone (501) 906-3000

Hospital & facility affiliations

  • St Marys Regional Medical Center Hospital, Russellville, AR, CCN 040041
  • Johnson Regional Medical Center Hospital, Clarksville, AR, CCN 040002

Merit-based Incentive Payment System (MIPS)

Final score
89.18 of 100Reported as group
Quality
90.37
Promoting interoperability
100
Improvement activities
40
Cost
73.56

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Central Arkansas Radiation Therapy Institute Inc Current Accepting new patients
Central Arkansas Radiation Therapy Institute Inc CurrentSince Oct 19, 2020 Accepting new patients
Central Arkansas Radiation Therapy Institute Inc CurrentSince Oct 19, 2020 Accepting new patients
Central Arkansas Radiation Therapy Institute Inc Past Accepting new patients

Locations

2500 Highway 65 S
Clinton, AR 72031
Phone (501) 745-7000

8901 Carti Way
Little Rock, AR 72205
Phone 50190630003044

9601 Baptist Health Dr
Ste 106
Little Rock, AR 72205

209 S Portland Ave
Russellville, AR 72801
Phone (479) 317-7010

Interoperability endpoints

  • Direct secure messaging: ashley.mccoy@carti.oncoemrdirect.com

Organizations & group practices 4

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 2

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": "1601424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646870400000",
    "number": "1013524388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 55050",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722155050",
            "telephone_number": "501-906-3000",
            "fax_number": "501-907-8367"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "209 S PORTLAND AVE",
            "city": "RUSSELLVILLE",
            "state": "AR",
            "postal_code": "728012339",
            "telephone_number": "501-906-0000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8901 Carti Way",
            "address_purpose": "LOCATION",
            "city": "Little Rock",
            "state": "AR",
            "postal_code": "722056523",
            "country_code": "US",
            "telephone_number": "501-906-3000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCCOY",
        "first_name": "ASHLEY",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-30",
        "last_updated": "2022-03-10",
        "certification_date": "2022-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AR",
            "license": "212972",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ashley.mccoy@carti.OncoEMRDirect.com",
            "affiliation": "N",
            "address_1": "209 S Portland Ave",
            "city": "Russellville",
            "state": "AR",
            "country_code": "US",
            "postal_code": "728012339",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Russellville, AR

Sources for this page

Verify at the official NPI Registry.