Individual provider Active NPI

Ashley Cocilova, FNP-C

  • Family Nurse Practitioner
  • Flowood, MS
National Provider Identifier
1184038499
Registry record updated Jun 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R882220 Issued in MS
Practice address
120 Stone Creek Blvd Ste 500
Flowood, MS 39232-8210
Phone
(601) 420-2040
NPI assigned
Jun 13, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X R882220 MS Primary

Addresses

Primary practice location

120 Stone Creek Blvd Ste 500
Flowood, MS 39232-8210

Mailing address

120 Stone Creek Blvd
Suite 500
Flowood, MS 39232-8205
Phone (662) 588-0947

Other practice location 1

2080 S Frontage Rd Ste 112
Vicksburg, MS 39180-5882
Phone (601) 883-6304

Other practice location 2

114 Byram Business Center Dr
Byram, MS 39272-9636
Phone (601) 376-9960

Other practice location 3

220 Highway 12 W
Kosciusko, MS 39090-3208
Phone (662) 289-4311

Other practice location 4

27190 Highway 28
Hazlehurst, MS 39083-2224
Phone (601) 574-7277

Other practice location 5

7100 U S Highway 98 Ste 210
Hattiesburg, MS 39402-8557
Phone (601) 545-7021

Other names 1

  • Ashley Kittrell Allen Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS
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
I20150203000720 MS Practitioner - Nurse Practitioner 4587989140 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Flowood Pain Center, LLCGroup PAC ID 6901154293, 25 clinicians

Practice addresses (Care Compare)

970 Lakeland Dr
Suite 45
Jackson, MS 39216-4640
Phone (601) 313-9802

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
82.91 of 100Reported as group
Quality
73.71
Promoting interoperability
97
Improvement activities
40
Cost
64.52

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Willow Pain and Wellness, LLC CurrentSince May 1, 2018 Accepting new patients
Willow Pain and Wellness, LLC CurrentSince May 1, 2018 Accepting new patients
Vicksburg Clinic LLC Past Accepting new patients

Locations

2215 Jefferson Davis Dr
Oxford, MS 38655
Phone (662) 234-3303

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 and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1402617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750723200000",
    "number": "1184038499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 STONE CREEK BLVD",
            "address_2": "SUITE 500",
            "city": "FLOWOOD",
            "state": "MS",
            "postal_code": "392328205",
            "telephone_number": "662-588-0947"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 STONE CREEK BLVD STE 500",
            "city": "FLOWOOD",
            "state": "MS",
            "postal_code": "392328210",
            "telephone_number": "601-420-2040"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2080 S Frontage Rd Ste 112",
            "address_purpose": "LOCATION",
            "city": "Vicksburg",
            "state": "MS",
            "postal_code": "391805882",
            "country_code": "US",
            "telephone_number": "601-883-6304",
            "fax_number": "601-883-6325",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "114 Byram Business Center Dr",
            "address_purpose": "LOCATION",
            "city": "Byram",
            "state": "MS",
            "postal_code": "392729636",
            "country_code": "US",
            "telephone_number": "601-376-9960",
            "fax_number": "601-376-4676",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "220 Highway 12 W",
            "address_purpose": "LOCATION",
            "city": "Kosciusko",
            "state": "MS",
            "postal_code": "390903208",
            "country_code": "US",
            "telephone_number": "662-289-4311",
            "fax_number": "662-290-3255",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "27190 Highway 28",
            "address_purpose": "LOCATION",
            "city": "Hazlehurst",
            "state": "MS",
            "postal_code": "390832224",
            "country_code": "US",
            "telephone_number": "601-574-7277",
            "fax_number": "601-420-2356",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7100 U S Highway 98 Ste 210",
            "address_purpose": "LOCATION",
            "city": "Hattiesburg",
            "state": "MS",
            "postal_code": "394028557",
            "country_code": "US",
            "telephone_number": "601-545-7021",
            "fax_number": "601-545-6978",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COCILOVA",
        "first_name": "ASHLEY",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-06-13",
        "last_updated": "2025-06-24",
        "certification_date": "2025-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "R882220",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ASHLEY",
            "last_name": "ALLEN",
            "middle_name": "KITTRELL",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Flowood, MS

Sources for this page

Verify at the official NPI Registry.