Ashlee Ann Nicoll, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

241804 Issued in AZ

Practice address

114 S Mountain Ave
Springerville, AZ 85938-5104

Phone

(928) 333-4368

NPI assigned

Jul 8, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

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, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Hamblin Dermatology PLLCGroup PAC ID 2264744374, 7 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Hamblin Dermatology PLLC

  • Dermatology Physician
  • Show Low, AZ
  • NPI 1568851350
  Medicare reassignment Care Compare group NPD
• HW Dermatology PLLC

  • Dermatology Physician
  • Mesa, AZ
  • NPI 1750800033
  NPD (past)

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

{
    "created_epoch": "1594166400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594166400000",
    "number": "1164040945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1144",
            "city": "EAGAR",
            "state": "AZ",
            "postal_code": "859251144",
            "telephone_number": "928-853-8453"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "114 S MOUNTAIN AVE",
            "city": "SPRINGERVILLE",
            "state": "AZ",
            "postal_code": "859385104",
            "telephone_number": "928-333-4368"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NICOLL",
        "first_name": "ASHLEE",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-08",
        "last_updated": "2020-07-08",
        "certification_date": "2020-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "241804",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Leticia Marquez, LISAC
• Lillie Nicole McCormick
• Martha McGuffin, NP
• McNeill Enterprises LLC
• Francis Bernard Moore, P.A.
• North Country Healthcare, Inc.
• Devin Pinckard
• Heidi Ponce
• Hal Richins Jr., MD
• Rocky Mountain Holdings LLC

• Family Nurse Practitioner in Springerville, AZ
• Providers in Springerville, AZ by specialty
• Family Nurse Practitioner in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2020; 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.