Active NPI
Ashlyn S Bartels, FNP
- Family Nurse Practitioner
- Springfield, IL
National Provider Identifier
1073963120
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 209017347
- Practice address
- 2239 E Cook St
Springfield, IL 62703-1944 - Phone
- (217) 788-2300
- Fax
- (217) 788-2342
- NPI assigned
- Jun 20, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 209017347 | IL | Primary |
Addresses
Primary practice location
2239 E Cook St
Springfield, IL 62703-1944
Mailing address
2239 E Cook St
Springfield, IL 62703-1944
Phone (217) 788-2300
Other practice location 1
325 N Caldwell St
Staunton, IL 62088-1421
Phone (618) 635-2221
Other practice location 2
400 N Caldwell St
Staunton, IL 62088-1173
Phone (618) 635-2200
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 209014347 | Medicaid | IL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 209017347 | IL | MD | Obstetrics & Gynecology Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1466380800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1586131200000",
"number": "1073963120",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2239 E COOK ST",
"city": "SPRINGFIELD",
"state": "IL",
"postal_code": "627031944",
"telephone_number": "217-788-2300",
"fax_number": "217-788-2342"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2239 E COOK ST",
"city": "SPRINGFIELD",
"state": "IL",
"postal_code": "627031944",
"telephone_number": "217-788-2300",
"fax_number": "217-788-2342"
}
],
"practiceLocations": [
{
"address_1": "325 N Caldwell St",
"address_purpose": "LOCATION",
"city": "Staunton",
"state": "IL",
"postal_code": "620881421",
"country_code": "US",
"telephone_number": "618-635-2221",
"fax_number": "618-633-2269",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "400 N Caldwell St",
"address_purpose": "LOCATION",
"city": "Staunton",
"state": "IL",
"postal_code": "620881173",
"country_code": "US",
"telephone_number": "618-635-2200",
"fax_number": "618-635-4244",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BARTELS",
"first_name": "ASHLYN",
"middle_name": "S",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-06-20",
"last_updated": "2020-04-06",
"certification_date": "2020-04-06",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "IL",
"license": "209017347",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "209014347",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Springfield, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.