Individual provider Active NPI

Ashley Hall, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • Hedgesville, WV
National Provider Identifier
1144870155
Registry record updated Oct 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
103044 Issued in WV
Practice address
64 Boy Scout Rd
Hedgesville, WV 25427-4006
Phone
(304) 944-4372
Fax
(304) 721-2466
NPI assigned
Sep 12, 2019
Last updated
Oct 23, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X SP020770P PA
Family Nurse Practitioner 363LF0000X R189448 MD
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 103044 WV Primary

Addresses

Primary practice location

64 Boy Scout Rd
Hedgesville, WV 25427-4006

Mailing address

64 Boy Scout Rd
Hedgesville, WV 25427-4006
Phone (304) 944-4372

Other practice location 1

3094 Charles Town Rd
Kearneysville, WV 25430-2669
Phone (304) 901-2070

Other identifiers 2

IdentifierTypeStateIssuer
103687487MedicaidPA
14502396MedicaidWV

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, MD2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20230317000185 DC Practitioner - Nurse Practitioner 1557692365
I20230317000312 MD Practitioner - Nurse Practitioner 1557692365 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
R189448MDMDFamily Nurse Practitioner
SP020770PPAMDFamily Nurse Practitioner
103044WVMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Matclinic Physicians Practice Group LLC Psychiatric/Mental Health CurrentSince Mar 4, 2023 Accepting new patients
Matclinic Physicians Practice Group LLC Psychiatric/Mental Health CurrentSince Mar 4, 2023 Accepting new patients
Matclinic Physicians Practice Group LLC CurrentSince Mar 4, 2023 Accepting new patients
Mountaineer Behavioral Health PastSince May 10, 2020 Accepting new patients

Locations

40 S Dundalk Ave
Ste 400
Dundalk, MD 21222
Phone (410) 220-0270

1101 Opal Ct
Ste 301
Hagerstown, MD 21740
Phone (240) 329-9033

601 7th St
Ste 304
Laurel, MD 20707
Phone (410) 220-0280

Interoperability endpoints

  • Direct secure messaging: ahall224766@wellspan.direct-ci.com

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1568246400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729641600000",
    "number": "1144870155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "64 BOY SCOUT RD",
            "city": "HEDGESVILLE",
            "state": "WV",
            "postal_code": "254274006",
            "telephone_number": "304-944-4372",
            "fax_number": "304-721-2466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "64 BOY SCOUT RD",
            "city": "HEDGESVILLE",
            "state": "WV",
            "postal_code": "254274006",
            "telephone_number": "304-944-4372",
            "fax_number": "304-721-2466"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3094 Charles Town Rd",
            "address_purpose": "LOCATION",
            "city": "Kearneysville",
            "state": "WV",
            "postal_code": "254302669",
            "country_code": "US",
            "telephone_number": "304-901-2070",
            "fax_number": "304-885-1054",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HALL",
        "first_name": "ASHLEY",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-12",
        "last_updated": "2024-10-23",
        "certification_date": "2024-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP020770P",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R189448",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "WV",
            "license": "103044",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "103687487",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "14502396",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hedgesville, WV

Sources for this page

Verify at the official NPI Registry.