Individual provider Active NPI

Ashley Marie Eyer

  • Family Medicine Physician
  • Kingman, AZ
National Provider Identifier
1013559301
Registry record updated Dec 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
231476 Issued in AZ
Practice address
2668 Hualapai Mountain Rd
Kingman, AZ 86401-8387
Phone
(928) 718-7300
NPI assigned
Oct 8, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 14, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 231476 AZ Primary
Military Health Care Provider 171000000X

Addresses

Primary practice location

2668 Hualapai Mountain Rd
Kingman, AZ 86401-8387

Mailing address

2668 Hualapai Mountain Rd
Kingman, AZ 86401-8387
Phone (928) 718-7300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20200214001455 AZ Practitioner - Nurse Practitioner 7517393374 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advanced Wound Care of Arizona PLLCGroup PAC ID 3779027669, 4 clinicians

Practice addresses (Care Compare)

Prescott, AZ 86305
Phone (928) 530-3230

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Foot & Ankle LTD CurrentSince Nov 20, 2023 Accepting new patients
Advanced Wound Care of Arizona PLLC Nurse Practitioner CurrentSince Apr 17, 2024 Accepting new patients
Advanced Foot & Ankle Past Accepting new patients

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 1

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": "1570492800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702512000000",
    "number": "1013559301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2668 HUALAPAI MOUNTAIN RD",
            "city": "KINGMAN",
            "state": "AZ",
            "postal_code": "864018387",
            "telephone_number": "928-718-7300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2668 HUALAPAI MOUNTAIN RD",
            "city": "KINGMAN",
            "state": "AZ",
            "postal_code": "864018387",
            "telephone_number": "928-718-7300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EYER",
        "first_name": "ASHLEY",
        "middle_name": "MARIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-08",
        "last_updated": "2023-12-14",
        "certification_date": "2023-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AZ",
            "license": "231476",
            "primary": true
        },
        {
            "code": "171000000X",
            "taxonomy_group": "",
            "desc": "Military Health Care Provider",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kingman, AZ

Sources for this page

Verify at the official NPI Registry.