Ashley R Bockmon, FNP
Individual provider Active NPI Family Nurse Practitioner · Whitehouse, TX
NPI 1124489091 · NPPES record last updated Feb 21, 2025
Key facts
- NPI
- 1124489091
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- AP130613 (TX)
- Practice address
- 601 Hwy 110 N
N Bay O
Whitehouse, TX 75791-3037 - Phone
- (903) 839-2585
- NPI assigned
- Mar 18, 2016
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 8
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- 903 Health and Wellness LLC
Pallicare, Inc
Practice addresses (Care Compare)
403 State Hwy 110 N
Whitehouse, TX 75791-3109
Phone (903) 202-7002
5803 Stoneridge Dr
Texarkana, TX 75503-1461
Phone (903) 278-5747
Hospital & facility affiliations
- Baylor Scott & White Texas Spine & Joint Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160412000333 | TX | Practitioner - Nurse Practitioner | 8426356213 | Reassigns benefits to 7 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Christus Trinity Clinic Texas | Current |
Accepting new patients | |
| Christus Trinity Clinic Texas | Current |
Accepting new patients | |
| Inpatient Physician Associates PLLC | Current |
Accepting new patients | |
| Mother Frances Hospital Regional Health Care Center | Current |
Accepting new patients | |
| East Lake Medical, PLLC | Nurse Practitioner | Current |
Accepting new patients |
| Mother Frances Hospital Jacksonville | Current |
Accepting new patients | |
| Pallicare, Inc | Current |
Accepting new patients |
Locations
6901 Snider Plz
Ste 130
Dallas, TX 75205
Phone (972) 381-6690
2026 S Jackson St
Jacksonville, TX 75766
Phone (903) 541-4500
3203 S Main St
Lindale, TX 75771
Phone (903) 266-4000
3150 Horizon Rd
Rockwall, TX 75032
Phone (469) 697-1000
630 S Fleishel Ave
Tyler, TX 75701
Phone (903) 510-8888
800 E Dawson St
Tyler, TX 75701
Phone (903) 531-5018
11980 State Highway 64 E
Ste G
Tyler, TX 75707
Phone (903) 579-3931
Interoperability endpoints
- abockmon12933@christushealth.direct-ci.net
- ashley.bockmon.1@26850.direct.athenahealth.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | AP130613 | TX | |
| Family Nurse Practitioner | 363LF0000X | AP130613 | TX | Yes |
Addresses
Primary practice location
601 Hwy 110 N
N Bay O
Whitehouse, TX 75791-3037
Mailing address
PO Box 846098
Dallas, TX 75284-6098
Phone (903) 324-6400
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 75-2616977-015 | Other | TX | TRICARE |
| P01636575 | Other | TX | RAIL ROAD MEDICARE |
| 356801601 | Medicaid | TX | |
| 75-2616977-129 | Other | TX | TRICARE |
| 8555NV | Other | TX | BCBS |
| 75-2616977-023 | Other | TX | TRICARE |
Other providers in Whitehouse, TX
- Amys Speech Therapy Services
- Arise Dental of Whitehouse PLLC
- Karen Michelle Barton-Nielsen
- Better Living Home Care Agency LLC
- Sarah Ann Bindner
- Brookshire Grocery Company
- Jeri Swaim Brown
- Ralph Burton
- Marcia Calip
- Camella M Jones Counseling and Associates LLC
All providers in Whitehouse, TX · Family Nurse Practitioner in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 21, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.