NPIMap

Individual provider Active NPI

Ashley N Gattis, NP

  • Nurse Practitioner
  • Clarksville, AR
National Provider Identifier
1063932283
Registry record updated Aug 13, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
A005185 Issued in AR
Practice address
708 W Main St
Clarksville, AR 72830-3411
Phone
(479) 668-3282
Fax
(479) 668-3284
NPI assigned
Jun 20, 2017
Last updated
Aug 13, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X A005185 AR Primary

Addresses

Primary practice location

708 W Main St
Clarksville, AR 72830-3411

Mailing address

708 W Main St
Clarksville, AR 72830-3411
Phone (479) 668-3282

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170712003756 AR Practitioner - Nurse Practitioner 1052331428 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

708 W Main St
Clarksville, AR 72830-3411
Phone (479) 668-3282

9755 W State Hwy 22
Ratcliff, AR 72951-9000
Phone (479) 431-2050

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A005185ARMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Conway Regional Medical Center Inc CurrentSince Oct 1, 2023 Accepting new patients
River Valley Primary Care Services CurrentSince Mar 25, 2019 Accepting new patients
Conway Regional Medical Center, Inc CurrentSince Oct 1, 2023 Accepting new patients
Mercy Clinic Fort Smith Communities CurrentSince Aug 1, 2017 Accepting new patients
Conway Regional Medical Center Inc Current Accepting new patients
Mercy Clinic Fort Smith Communities CurrentSince Aug 1, 2017 Accepting new patients
River Valley Primary Care Services CurrentSince Mar 25, 2019 Accepting new patients

Locations

880 W Main St
Booneville, AR 72927
Phone (479) 675-2800

708 W Main St
Clarksville, AR 72830
Phone (479) 668-3282

1273 E Highway 64
Coal Hill, AR 72832
Phone (479) 279-7670

437 Denison St
Ste 2
Conway, AR 72034
Phone (501) 504-2330

7001 Rogers Ave
Ste 200
Fort Smith, AR 72903
Phone (479) 314-4620

635 Childers Ave
Lamar, AR 72846
Phone (479) 668-4881

801 W River St
Ozark, AR 72949
Phone (479) 667-4138

108 Skyline Dr
Russellville, AR 72801
Phone (479) 968-7170

Interoperability endpoints

  • Direct secure messaging: agattis589658@direct.ochin.org

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 10

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": "1497916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565654400000",
    "number": "1063932283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "708 W MAIN ST",
            "city": "CLARKSVILLE",
            "state": "AR",
            "postal_code": "728303411",
            "telephone_number": "479-668-3282",
            "fax_number": "479-668-3284"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "708 W MAIN ST",
            "city": "CLARKSVILLE",
            "state": "AR",
            "postal_code": "728303411",
            "telephone_number": "479-668-3282",
            "fax_number": "479-668-3284"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GATTIS",
        "first_name": "ASHLEY",
        "middle_name": "N",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-20",
        "last_updated": "2019-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AR",
            "license": "A005185",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clarksville, AR

Sources for this page

Verify at the official NPI Registry.