Individual provider Active NPI

Ashley Michele Wiltcher, AGPCNP-BC

  • Nurse Practitioner
  • Indian Trail, NC
National Provider Identifier
1043762719
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
5015372 Issued in NC
Practice address
1030 Coulwood LN
Indian Trail, NC 28079-4347
Phone
(318) 732-5187
NPI assigned
Oct 28, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X 5015372 NC
Gerontology Clinical Nurse Specialist 364SG0600X AP09060 LA
Gerontology Nurse Practitioner 363LG0600X AP09060 LA
Family Nurse Practitioner 363LF0000X AP09060 LA
Adult Health Nurse Practitioner 363LA2200X 5015372 NC
Nurse Practitioner 363L00000X 5015372 NC Primary

Addresses

Primary practice location

1030 Coulwood LN
Indian Trail, NC 28079-4347

Mailing address

1030 Coulwood LN
Indian Trail, NC 28079-4347
Phone (318) 732-5187

Other practice location 1

7845 Little Ave
Charlotte, NC 28226-8198
Phone (704) 375-0100

Other practice location 2

951 Wendover Heights Dr
Shelby, NC 28150-3565
Phone (704) 487-4677

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA, NC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20161222000756 LA Practitioner - Nurse Practitioner 0547541914 Reassigns benefits to 1 organization
I20211201000019 NC Practitioner - Nurse Practitioner 0547541914

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
Hospice of Cleveland County, Inc.Group PAC ID 2668437914, 9 clinicians

Practice addresses (Care Compare)

7845 Little Ave
Charlotte, NC 28226-8198
Phone (704) 375-0100

951 Wendover Heights Dr
Shelby, NC 28150-3565
Phone (704) 487-4677

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP09060LAMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Affinity Health Group, LLC CurrentSince Nov 2, 2016 Accepting new patients
Affinity Health Group, LLC CurrentSince Nov 2, 2016 Accepting new patients
Hospice of Stanly County, Inc. PastSince Nov 15, 2021 Accepting new patients

Locations

261 Highway 132
Mangham, LA 71259
Phone (318) 248-2807

920 Oliver Rd
Monroe, LA 71201
Phone (318) 807-6267

2408 Broadmoor Blvd
Monroe, LA 71201
Phone (318) 410-0002

2408 Broadmoor Blvd
Ste 2
Monroe, LA 71201
Phone (318) 807-0525

130 Desiard St
Ste 355
Monroe, LA 71201
Phone (318) 807-7875

112 Saint John St
Monroe, LA 71201
Phone (318) 387-5681

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1477612800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1043762719",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1030 COULWOOD LN",
            "city": "INDIAN TRAIL",
            "state": "NC",
            "postal_code": "280794347",
            "telephone_number": "318-732-5187"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1030 COULWOOD LN",
            "city": "INDIAN TRAIL",
            "state": "NC",
            "postal_code": "280794347",
            "telephone_number": "318-732-5187"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7845 Little Ave",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "NC",
            "postal_code": "282268198",
            "country_code": "US",
            "telephone_number": "704-375-0100",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "951 Wendover Heights Dr",
            "address_purpose": "LOCATION",
            "city": "Shelby",
            "state": "NC",
            "postal_code": "281503565",
            "country_code": "US",
            "telephone_number": "704-487-4677",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILTCHER",
        "first_name": "ASHLEY",
        "middle_name": "MICHELE",
        "credential": "AGPCNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-10-28",
        "last_updated": "2026-07-13",
        "certification_date": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "NC",
            "license": "5015372",
            "primary": false
        },
        {
            "code": "364SG0600X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Gerontology",
            "state": "LA",
            "license": "AP09060",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "LA",
            "license": "AP09060",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "AP09060",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NC",
            "license": "5015372",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NC",
            "license": "5015372",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Indian Trail, NC

Sources for this page

Verify at the official NPI Registry.