Individual provider Active NPI

Ashley Wagner, CRNP

  • Nurse Practitioner
  • Brownville, ME
National Provider Identifier
1114395852
Registry record updated Sep 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
CNP261832 Issued in ME
Practice address
180 Main Rd
Brownville, ME 04414-3107
Phone
(207) 538-3700
NPI assigned
Sep 11, 2015
Last updated
Sep 23, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X CNP261832 ME Primary
Family Nurse Practitioner 363LF0000X 1-141241 AL

Addresses

Primary practice location

180 Main Rd
Brownville, ME 04414-3107

Mailing address

PO Box 746063
Atlanta, GA 30374-6063
Phone (312) 733-9730

Other practice location 1

1310 Washington St
Marion, AL 36756-3218
Phone (334) 683-2073

Other practice location 2

633 Tuscaloosa Ave SW
Birmingham, AL 35211-1637
Phone (205) 235-4003

Other practice location 3

3302 15th St Ste 100
Tuscaloosa, AL 35401-2732
Phone (205) 558-0877

Other practice location 4

1303 Washington St
Marion, AL 36756
Phone (120) 541-7705

Other practice location 5

1310 Washington St
Marion, AL 36756-3218
Phone (334) 683-2073

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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
I20160428001350 AL Practitioner - Nurse Practitioner 8921307786 Reassigns benefits to 4 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Rural Health Medical Program, Inc. Current Accepting new patients
Hospital Medicine Associates LLC CurrentSince Apr 1, 2024 Accepting new patients
Rural Health Medical Program, Inc CurrentSince Mar 6, 2016 Accepting new patients
Rural Health Medical Program, Inc Current Accepting new patients
Rural Health Medical Program, Inc Current Accepting new patients
Cahaba Medical Care Foundation CurrentSince Aug 1, 2018 Accepting new patients
Cahaba Medical Care Foundation CurrentSince Aug 1, 2018 Accepting new patients
Rural Health Medical Program, Inc. Current Accepting new patients
Rural Health Medical Program, Inc Current Accepting new patients
Signify Health, LLC CurrentSince Aug 16, 2022 Accepting new patients
Rural Health Medical Program, Inc. Current Accepting new patients
Rural Health Medical Program, Inc CurrentSince Mar 6, 2016 Accepting new patients
Rural Health Medical Program, Inc Current Accepting new patients

Locations

4000 Eagle Point Corporate Dr
Birmingham, AL 35242
Phone (205) 314-5700

50 Medical Park Dr E
Birmingham, AL 35235
Phone (205) 838-3000

810 Saint Vincents Dr
Birmingham, AL 35205
Phone (205) 930-2456

2210 Highway 221
Camden, AL 36726
Phone (334) 682-5772

195 Hospital Dr
Centreville, AL 35042
Phone (205) 225-7455

405 Belcher St
Centreville, AL 35042
Phone (205) 926-4694

1303 Washington St
Marion, AL 36756
Phone (334) 247-1006

1310 Washington St
Marion, AL 36756
Phone (334) 683-2073

3040 S Alabama Ave
Monroeville, AL 36460
Phone (334) 874-7428

867 County Road 59
Pine Apple, AL 36768
Phone (251) 746-2197

101 Park Pl
Selma, AL 36701
Phone (334) 526-2200

111 Main St
Thomaston, AL 36783
Phone (334) 627-3497

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/13116/brand/1/csg/1/fhir/r4

Organizations & group practices 13

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.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1441929600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790121600000",
    "number": "1114395852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 746063",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303746063",
            "telephone_number": "312-733-9730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "180 MAIN RD",
            "city": "BROWNVILLE",
            "state": "ME",
            "postal_code": "044143107",
            "telephone_number": "207-538-3700"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1310 Washington St",
            "address_purpose": "LOCATION",
            "city": "Marion",
            "state": "AL",
            "postal_code": "367563218",
            "country_code": "US",
            "telephone_number": "334-683-2073",
            "fax_number": "334-683-2077",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "633 Tuscaloosa Ave SW",
            "address_purpose": "LOCATION",
            "city": "Birmingham",
            "state": "AL",
            "postal_code": "352111637",
            "country_code": "US",
            "telephone_number": "205-235-4003",
            "fax_number": "205-941-8071",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3302 15th St Ste 100",
            "address_purpose": "LOCATION",
            "city": "Tuscaloosa",
            "state": "AL",
            "postal_code": "354012732",
            "country_code": "US",
            "telephone_number": "205-558-0877",
            "fax_number": "659-219-7033",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1303 Washington St",
            "address_purpose": "LOCATION",
            "city": "Marion",
            "state": "AL",
            "postal_code": "36756",
            "country_code": "US",
            "telephone_number": "120-541-7705",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1310 Washington St",
            "address_purpose": "LOCATION",
            "city": "Marion",
            "state": "AL",
            "postal_code": "367563218",
            "country_code": "US",
            "telephone_number": "334-683-2073",
            "fax_number": "334-683-2077",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WAGNER",
        "first_name": "ASHLEY",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-09-11",
        "last_updated": "2026-09-23",
        "certification_date": "2026-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "ME",
            "license": "CNP261832",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1-141241",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brownville, ME

Sources for this page

Verify at the official NPI Registry.