Individual provider Active NPI

Ashley McKee, NP-C

  • Family Nurse Practitioner
  • Boardman, OH
National Provider Identifier
1053200774
Registry record updated Jul 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0039510 Issued in OH
Practice address
987 Boardman Canfield Rd
Boardman, OH 44512-4222
Phone
(330) 965-8760
NPI assigned
Jun 30, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2025

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 0039510 OH Primary

Addresses

Primary practice location

987 Boardman Canfield Rd
Boardman, OH 44512-4222

Mailing address

5570 W Middletown Rd
Canfield, OH 44406-9492
Phone (330) 398-3790

Other practice location 1

2525 E State St
Salem, OH 44460-9301
Phone (330) 271-8614

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20250729000667 OH Practitioner - Nurse Practitioner 3173030731 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Optima Dermatology LLCGroup PAC ID 3971561648, 74 clinicians

Practice addresses (Care Compare)

987 Boardman Canfield Rd
Boardman, OH 44512-4222
Phone (330) 965-8760

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0039510OHMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Optima Dermatology LLC CurrentSince Jul 14, 2025 Accepting new patients
Advanced Dermatology and Skin Cancer Center Past Accepting new patients

Locations

111 New Hampshire Ave
Ste 2
Portsmouth, NH 03801
Phone (603) 319-4490

2525 E State St
Salem, OH 44460
Phone (330) 271-8614

1039 Boardman Canfield Rd
Youngstown, OH 44512
Phone (330) 729-2195

987 Boardman Canfield Rd
Youngstown, OH 44512
Phone (330) 271-8589

Organizations & group practices 2

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": "1751241600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752537600000",
    "number": "1053200774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5570 W MIDDLETOWN RD",
            "city": "CANFIELD",
            "state": "OH",
            "postal_code": "444069492",
            "telephone_number": "330-398-3790"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "987 BOARDMAN CANFIELD RD",
            "city": "BOARDMAN",
            "state": "OH",
            "postal_code": "445124222",
            "telephone_number": "330-965-8760"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2525 E State St",
            "address_purpose": "LOCATION",
            "city": "Salem",
            "state": "OH",
            "postal_code": "444609301",
            "country_code": "US",
            "telephone_number": "330-271-8614",
            "fax_number": "330-525-9008",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCKEE",
        "first_name": "ASHLEY",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-06-30",
        "last_updated": "2025-07-15",
        "certification_date": "2025-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "0039510",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boardman, OH

Sources for this page

Verify at the official NPI Registry.