Individual provider Active NPI

Ashleigh Dena Hickerson, APRN

  • Acute Care Nurse Practitioner
  • Madisonville, KY
National Provider Identifier
1063963676
Registry record updated Aug 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
3010795 Issued in KY
Practice address
900 Hospital Dr
Madisonville, KY 42431-1644
Phone
(270) 875-3502
Fax
(270) 825-5551
NPI assigned
Oct 18, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 3010795 KY Primary

Addresses

Primary practice location

900 Hospital Dr
Madisonville, KY 42431-1644

Mailing address

900 Hospital Dr
Madisonville, KY 42431-1644
Phone (270) 875-3502

Other identifiers 2

IdentifierTypeStateIssuer
7100471580MedicaidKY
K139260OtherMEDICARE

Other names 1

  • Ashleigh Dena Laffoon Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address alaffoon54097@bhkydirect.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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
I20170515001828 KY Practitioner - Nurse Practitioner 3678850914 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Baptist Health Deaconess Medical Group IncGroup PAC ID 6103220330, 241 clinicians

Practice addresses (Care Compare)

900 Hospital Dr
FL 5
Madisonville, KY 42431-1644
Phone (270) 825-5918

Hospital & facility affiliations

  • Baptist Health Deaconess Madisonville Hospital, Madisonville, KY, CCN 180093
  • Owensboro Health Regional Hospital Hospital, Owensboro, KY, CCN 180038

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
3010795KYMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Baptist Health Medical Group Inc Current Accepting new patients
Baptist Health Deaconess Medical Group Inc Acute Care CurrentSince Sep 1, 2021 Accepting new patients
Baptist Health Deaconess Medical Group Inc CurrentSince Sep 1, 2021 Accepting new patients
Baptist Health Medical Group Inc CurrentSince Apr 15, 2019 Accepting new patients
Baptist Health Medical Group Inc CurrentSince Apr 15, 2019 Accepting new patients
Baptist Health Madisonville Inc Past Accepting new patients

Locations

500 Clinic Dr
Hopkinsville, KY 42240
Phone (270) 707-3300

900 Hospital Dr
Fl 5
Madisonville, KY 42431
Phone (270) 825-5100

900 Hospital Dr
Madisonville, KY 42431
Phone (270) 326-3900

800 Hospital Dr
Fl 2
Madisonville, KY 42431
Phone (270) 326-3900

2603 Kentucky Ave
Ste 304
Paducah, KY 42003
Phone (270) 415-4800

Organizations & group practices 6

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 2

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": "1476748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660608000000",
    "number": "1063963676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 HOSPITAL DR",
            "city": "MADISONVILLE",
            "state": "KY",
            "postal_code": "424311644",
            "telephone_number": "270-875-3502",
            "fax_number": "270-825-5551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 HOSPITAL DR",
            "city": "MADISONVILLE",
            "state": "KY",
            "postal_code": "424311644",
            "telephone_number": "270-875-3502",
            "fax_number": "270-825-5551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HICKERSON",
        "first_name": "ASHLEIGH",
        "middle_name": "DENA",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-10-18",
        "last_updated": "2022-08-16",
        "certification_date": "2021-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "KY",
            "license": "3010795",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100471580",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "K139260",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "alaffoon54097@bhkydirect.com",
            "affiliation": "N",
            "address_1": "900 Hospital Dr Fl 5",
            "city": "Madisonville",
            "state": "KY",
            "country_code": "US",
            "postal_code": "424311644",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "ASHLEIGH",
            "last_name": "LAFFOON",
            "middle_name": "DENA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Madisonville, KY

Sources for this page

Verify at the official NPI Registry.