Individual provider Active NPI

Ashley Nelson, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Anderson, SC
National Provider Identifier
1124913751
Registry record updated Sep 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
30510 Issued in SC
Practice address
305 McGee Rd
Anderson, SC 29625-1613
Phone
(864) 353-4291
NPI assigned
Jun 12, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 16, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 30510 SC Primary

Addresses

Primary practice location

305 McGee Rd
Anderson, SC 29625-1613

Mailing address

305 McGee Rd
Anderson, SC 29625-1613
Phone (864) 353-4291

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
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
I20250912000180 SC Practitioner - Nurse Practitioner 6305349697 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

305 McGee Rd
Anderson, SC 29625-1613
Phone (864) 965-7556

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
30510SCMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mindful Essence Psychiatry and Wellness LLC Psychiatric/Mental Health CurrentSince Jul 11, 2025 Accepting new patients
Upstate Behavioral Health Psychiatric/Mental Health CurrentSince Jan 4, 2026 Accepting new patients

Locations

305 McGee Rd
Anderson, SC 29625
Phone (864) 353-4291

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1749686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757980800000",
    "number": "1124913751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "305 MCGEE RD",
            "city": "ANDERSON",
            "state": "SC",
            "postal_code": "296251613",
            "telephone_number": "864-353-4291",
            "fax_number": "864-214-6920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 MCGEE RD",
            "city": "ANDERSON",
            "state": "SC",
            "postal_code": "296251613",
            "telephone_number": "864-353-4291"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NELSON",
        "first_name": "ASHLEY",
        "credential": "PMHNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-06-12",
        "last_updated": "2025-09-16",
        "certification_date": "2025-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "SC",
            "license": "30510",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anderson, SC

Sources for this page

Verify at the official NPI Registry.