Ashley Brook Charles, APRN
Individual provider Active NPI Family Nurse Practitioner · Phelps, KY
NPI 1043848468 · NPPES record last updated Mar 31, 2020
Key facts
- NPI
- 1043848468
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 3014436 (KY)
- Practice address
- 7617 Upper Johns Creek Rd
Phelps, KY 41553-8775 - Phone
- (606) 835-9333
- Fax
- (606) 835-9997
- NPI assigned
- Mar 31, 2020
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 5
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Modern Dermatology of Kentucky LLC
Practice addresses (Care Compare)
1098 S Mayo TRL
Pikeville, KY 41501-1546
Phone (859) 276-1511
1750 Hwy 192 W
Suite 8
London, KY 40741-2640
Phone (859) 276-1511
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Quality
- 100
- Improvement activities
- 40
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in KY
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200508001561 | KY | Practitioner - Nurse Practitioner | 0446681332 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3014436 | KY | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hilltop Primary Care, Inc | Current |
Accepting new patients | |
| Modern Dermatology of Kentucky LLC | Current |
Accepting new patients | |
| Hilltop Primary Care, Inc | Current |
Accepting new patients | |
| Ronald D Hall MD | Past | Accepting new patients | |
| Kentucky Dermatology and Skin Cancer Clinic, PSC | Past | Accepting new patients |
Locations
161 Lexington Green Cir
Ste 100
Lexington, KY 40503
Phone (859) 276-1511
177 Burt Rd
Lexington, KY 40503
Phone (859) 276-1511
169 Burt Rd
Lexington, KY 40503
Phone (859) 278-9242
1750 Highway 192 W
Ste 8
London, KY 40741
Phone (606) 878-5590
1750 Highway 192 W
London, KY 40741
Phone (606) 878-0088
7617 Upper Johns Creek Rd
Phelps, KY 41553
Phone (606) 835-9333
1098 S Mayo Trl
Pikeville, KY 41501
Phone (606) 432-5532
1098 S Mayo Trl
Ste 211
Pikeville, KY 41501
Phone (606) 432-5532
120 Meridian Way
Richmond, KY 40475
120 Meridian Way
Ste 3
Richmond, KY 40475
Phone (859) 276-1511
Interoperability endpoints
- acharles@kentuckydermatology.emadirect.md
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 3014436 | KY | Yes |
Addresses
Primary practice location
7617 Upper Johns Creek Rd
Phelps, KY 41553-8775
Mailing address
7617 Upper Johns Creek Rd
Phelps, KY 41553-8775
Phone (606) 835-9333
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3014436 | Other | KY | APRN LICENSE NUMBER |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | EClinicalWorks |
Other providers in Phelps, KY
- Kyla Ann Burke
- Jennifer Cole Chapman
- Citizens Drug Inc
- Georgia Ann Coleman
- Misty Dawn Collins
- Daryll Hamilton
- Geraline Hatfield
All providers in Phelps, KY · Family Nurse Practitioner in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 31, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.