Ashley Walters, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

AP125860 Issued in TX

Practice address

2501 Jimmy Johnson Blvd Ste 405
Port Arthur, TX 77640-2013

Phone

(409) 727-4422

Fax

(855) 510-6580

NPI assigned

Jun 24, 2014

Last updated

Sep 26, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX

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

Specialty

Nurse Practitioner

Education

Other, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

RHG of Texas PAGroup PAC ID 6608399829, 32 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Christus Southeast Texas- St Elizabeth Hospital, Beaumont, TX, CCN 450034
• The Medical Center of Southeast Texas Hospital, Port Arthur, TX, CCN 450518
• Christus Jasper Memorial Hospital Hospital, Jasper, TX, CCN 450573

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: ashley.walters.1@19036.direct.athenahealth.com
• FHIR API: https://api.platform.athenahealth.com/996/brand/1/csg/213/fhir/r4

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.

• RHG of Texas PA

  • Family Medicine Physician
  • Beaumont, TX
  • NPI 1013734243
  Medicare reassignment Care Compare group NPD
• C H Wilkinson Physician Network

  dba CHRISTUS Physician Group

  • Family Medicine Physician
  • Irving, TX
  • NPI 1457382947
  Medicare reassignment NPD
• Roussel Clement MD PA

  • Internal Medicine Physician
  • Groves, TX
  • NPI 1720147762
  Medicare reassignment NPD
• C H Wilkinson Physician Network

  dba CHRISTUS Physician Group

  • Orthopaedic Surgery Physician
  • Corpus Christi, TX
  • NPI 1750826095
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Christus Health Southeast Texas

  dba CHRISTUS Southeast Texas - Jasper Memorial

  • Rural Acute Care Hospital
  • Jasper, TX
  • NPI 1598749707
  Care Compare affiliation
• Christus Health Southeast Texas

  dba CHRISTUS Southeast Texas - St. Elizabeth

  • General Acute Care Hospital
  • Beaumont, TX
  • NPI 1679557888
  Care Compare affiliation
• Hsa Port Arthur, LLC

  • General Acute Care Hospital
  • Port Arthur, TX
  • NPI 1194548073
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1403568000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727308800000",
    "number": "1104231513",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2501 JIMMY JOHNSON BLVD STE 405",
            "city": "PORT ARTHUR",
            "state": "TX",
            "postal_code": "776402013",
            "telephone_number": "409-727-4422",
            "fax_number": "855-510-6580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2501 JIMMY JOHNSON BLVD STE 405",
            "city": "PORT ARTHUR",
            "state": "TX",
            "postal_code": "776402013",
            "telephone_number": "409-727-4422",
            "fax_number": "855-510-6580"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALTERS",
        "first_name": "ASHLEY",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-06-24",
        "last_updated": "2024-09-26",
        "certification_date": "2024-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP125860",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "370183101",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Walgreen Co (Walgreens #05375)
• Walgreen Co (Walgreens #03958)
• Walgreens
• Walisha M. Blackmore M.Ed., LPC
• Walter Umphrey Cancer Center of Southeast Texas
• George Ronald Walters, MD
• Tyneshia Watson
• Stephen C Weatherford, MD
• Deborah Kay Webb-Johnson, LPC, NCC
• Robert E Wiggins Jr., DDS

• Family Nurse Practitioner in Port Arthur, TX
• Providers in Port Arthur, TX by specialty
• Family Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.