Individual provider Active NPI

Ashley L Homan, CRNP

  • Nurse Practitioner
  • Camden, NJ
National Provider Identifier
1194199000
Registry record updated Apr 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
26NJ00628500 Issued in NJ
Practice address
1 Cooper PLZ
Camden, NJ 08103-1461
Phone
(856) 342-2000
NPI assigned
Nov 17, 2015
Last updated
Apr 7, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2020

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 26NJ00628500 NJ Primary
Acute Care Nurse Practitioner 363LA2100X SP018396 PA
Family Nurse Practitioner 363LF0000X SP018396 PA
Family Nurse Practitioner 363LF0000X LG-0000903 DE

Addresses

Primary practice location

1 Cooper PLZ
Camden, NJ 08103-1461

Mailing address

1 Federal St # 200
Camden, NJ 08103-1088
Phone (856) 356-4924

Other practice location 1

3400 Spruce Street
Ground Silverstein Bldg
Philadelphia, PA 19104-4206
Phone (215) 662-6698

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DE, PA, NJ3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20160107001120 DE Practitioner - Nurse Practitioner 5395047344 Reassigns benefits to 3 organizations
I20180213003119 PA Practitioner - Nurse Practitioner 5395047344 Reassigns benefits to 1 organization
I20200407003091 NJ Practitioner - Nurse Practitioner 5395047344 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cooper Surgical Associates, PAGroup PAC ID 3274430764, 303 clinicians

Practice addresses (Care Compare)

1 Cooper PLZ
Camden, NJ 08103-1461
Phone (856) 270-4100

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
26NJ00628500NJMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Christiana Care Health Services, Inc Nurse Practitioner CurrentSince Jan 3, 2016 Accepting new patients
Cooper Urgent Care, PC CurrentSince Mar 30, 2020 Accepting new patients
University of Penn-Medical Group Current Accepting new patients
Christiana Care Health Services Inc CurrentSince Jan 3, 2016 Accepting new patients
University of Penn-Medical Group CurrentSince Dec 27, 2017 Accepting new patients
Cooper Surgical Associates, PA CurrentSince Oct 23, 2023 Accepting new patients
Cooper Surgical Associates, PA CurrentSince Oct 23, 2023 Accepting new patients
Cooper Univeristy Emergency Physicians, PC CurrentSince Mar 30, 2020 Accepting new patients
Christiana Care Health Services Inc CurrentSince Jan 3, 2016 Accepting new patients
Christiana Care Health Services, Inc Nurse Practitioner Current Accepting new patients
University of Penn-Medical Group CurrentSince Dec 27, 2017 Accepting new patients
Christiana Care Health Services Inc CurrentSince Jan 3, 2016 Accepting new patients

Locations

726 Yorklyn Rd
Ste 100
Hockessin, DE 19707
Phone (302) 234-5770

4755 Ogletown Stanton Rd
Ste 5A43
Newark, DE 19718
Phone (302) 623-0188

318 S White Horse Pike
Audubon, NJ 08106
Phone (856) 672-6077

1 Cooper Plz
Camden, NJ 08103
Phone (856) 342-2425

3 Cooper Plz
Rm 104
Camden, NJ 08103
Phone (609) 963-6770

3 Cooper Plz
Rm 411
Camden, NJ 08103
Phone (856) 342-2270

2001 Route 70 E
Cherry Hill, NJ 08003
Phone (856) 396-6257

2339 Route 70 W
Cherry Hill, NJ 08002
Phone (856) 406-4080

2339 Route 70 W
Fl 2
Cherry Hill, NJ 08002
Phone (856) 532-9519

2339 Route 70 W
Ste 2
Cherry Hill, NJ 08002

400 W Route 38
Moorestown, NJ 08057
Phone (856) 270-4000

400 W Route 38
Fl 2
Moorestown, NJ 08057
Phone (856) 270-4002

310 Salem Woodstown Rd
Salem, NJ 08079
Phone (856) 339-6054

900 Centennial Blvd
Voorhees, NJ 08043
Phone (856) 325-6505

900 Centennial Blvd
Ste E
Voorhees, NJ 08043
Phone (609) 325-6505

3624 Market St
Fl 2
Philadelphia, PA 19104
Phone (215) 615-3669

777 Township Line Rd
Ste 200
Yardley, PA 19067
Phone (215) 860-0775

Interoperability endpoints

  • Direct secure messaging: ahoman96137@direct.cooperhealth.edu

Organizations & group practices 12

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": "1447718400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1586217600000",
    "number": "1194199000",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 FEDERAL ST # 200",
            "city": "CAMDEN",
            "state": "NJ",
            "postal_code": "081031088",
            "telephone_number": "856-356-4924"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 COOPER PLZ",
            "city": "CAMDEN",
            "state": "NJ",
            "postal_code": "081031461",
            "telephone_number": "856-342-2000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3400 Spruce Street",
            "address_2": "Ground Silverstein Bldg",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191044206",
            "country_code": "US",
            "telephone_number": "215-662-6698",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOMAN",
        "first_name": "ASHLEY",
        "middle_name": "L",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-11-17",
        "last_updated": "2020-04-07",
        "certification_date": "2020-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NJ",
            "license": "26NJ00628500",
            "primary": true
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "PA",
            "license": "SP018396",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP018396",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "DE",
            "license": "LG-0000903",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Camden, NJ

Sources for this page

Verify at the official NPI Registry.