Individual provider Active NPI

Nichol Ashmore, APRN, FNP-BC

  • Family Nurse Practitioner
  • Moline, IL
National Provider Identifier
1194359562
Registry record updated Dec 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
A161611 Issued in IA
Practice address
1106 4TH Ave
Moline, IL 61265-1231
Phone
(563) 336-3000
Fax
(563) 327-2045
NPI assigned
Feb 25, 2020
Last updated
Dec 19, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 19, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 209020843 IL
Family Nurse Practitioner 363LF0000X A161611 IA Primary

Addresses

Primary practice location

1106 4TH Ave
Moline, IL 61265-1231

Mailing address

310 W 16TH Ave
Coal Valley, IL 61240-9358
Phone (309) 269-6797

Other practice location 1

801 Hospital Rd
Silvis, IL 61282-1806
Phone (309) 281-4000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, IA2 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
I20200423002802 IL Practitioner - Nurse Practitioner 5991135469 Reassigns benefits to 2 organizations
I20221221002363 IA Practitioner - Nurse Practitioner 5991135469 Reassigns benefits to 1 organization

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
Community Health Care IncGroup PAC ID 9830008895, shared by 17 NPIs, 56 clinicians

Practice addresses (Care Compare)

1106 4TH Ave
Moline, IL 61265-1231
Phone (563) 336-3000

500 W River Dr
Davenport, IA 52801-1014
Phone (563) 336-3000

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A161611IAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Genesis Health System CurrentSince Apr 1, 2020 Accepting new patients
Community Health Care, Inc. Current Accepting new patients
Community Health Care, Inc. Current Accepting new patients
Community Health Care Inc CurrentSince Apr 25, 2022 Accepting new patients
Community Health Care, Inc. CurrentSince Apr 25, 2022 Accepting new patients
Community Health Care, Inc. CurrentSince Sep 20, 2022 Accepting new patients
Community Health Care, Inc. Past Accepting new patients

Locations

925 S 4th St
Clinton, IA 52732
Phone (563) 205-3578

1510 E Rusholme St
Davenport, IA 52803
Phone (563) 359-6633

500 W River Dr
Davenport, IA 52801
Phone (563) 327-2035

1221 Park Ave
Muscatine, IA 52761

2925 Cedar St
Ste 2
Muscatine, IA 52761
Phone (563) 263-7410

312 Iowa Ave
Muscatine, IA 52761
Phone (563) 264-8506

708 15th Ave
East Moline, IL 61244
Phone (309) 751-4023

1106 4th Ave
Moline, IL 61265
Phone (309) 623-4817

1106 4th Ave
Ste B
Moline, IL 61265
Phone (309) 743-7878

4101 John Deere Rd
Moline, IL 61265
Phone (309) 765-1600

2200 3rd Ave
Rock Island, IL 61201
Phone (309) 779-2094

2750 11th St
Rock Island, IL 61201
Phone (563) 327-2000

801 Illini Dr
Silvis, IL 61282
Phone (309) 281-4000

Interoperability endpoints

  • Direct secure messaging: nashmore635354@direct.ochin.org

Organizations & group practices 7

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": "1582588800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671408000000",
    "number": "1194359562",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "310 W 16TH AVE",
            "city": "COAL VALLEY",
            "state": "IL",
            "postal_code": "612409358",
            "telephone_number": "309-269-6797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1106 4TH AVE",
            "city": "MOLINE",
            "state": "IL",
            "postal_code": "612651231",
            "telephone_number": "563-336-3000",
            "fax_number": "563-327-2045"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "801 Hospital Rd",
            "address_purpose": "LOCATION",
            "city": "Silvis",
            "state": "IL",
            "postal_code": "612821806",
            "country_code": "US",
            "telephone_number": "309-281-4000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ASHMORE",
        "first_name": "NICHOL",
        "name_prefix": "Mrs.",
        "credential": "APRN, FNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-02-25",
        "last_updated": "2022-12-19",
        "certification_date": "2022-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209020843",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IA",
            "license": "A161611",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Moline, IL

Sources for this page

Verify at the official NPI Registry.