Nichol Ashmore, APRN, FNP-BC
Individual provider Active NPI Family Nurse Practitioner · Moline, IL
NPI 1194359562 · NPPES record last updated Dec 19, 2022
Key facts
- NPI
- 1194359562
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- A161611 (IA)
- Practice address
- 1106 4TH Ave
Moline, IL 61265-1231 - Phone
- (563) 336-3000
- Fax
- (563) 327-2045
- NPI assigned
- Feb 25, 2020
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 18
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Community Health Care Inc
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
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in IL, IA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200423002802 | IL | Practitioner - Nurse Practitioner | 5991135469 | Reassigns benefits to 2 organizations |
| I20221221002363 | IA | Practitioner - Nurse Practitioner | 5991135469 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A161611 | IA | MD | Family Nurse Practitioner |
| 209020843 | IL | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Health Care, Inc. | Current | Accepting new patients | |
| Community Health Care, Inc. | Current |
Accepting new patients | |
| Community Health Care, Inc. | Current |
Accepting new patients | |
| Community Health Care Inc | Current |
Accepting new patients | |
| Community Health Care, Inc. | Current | Accepting new patients | |
| Genesis Health System | Current |
Accepting new patients |
Locations
925 S 4th St
Clinton, IA 52732
Phone (563) 205-3578
500 W River Dr
Davenport, IA 52801
Phone (563) 327-2035
1510 E Rusholme St
Davenport, IA 52803
Phone (563) 359-6633
1221 Park Ave
Muscatine, IA 52761
312 Iowa Ave
Muscatine, IA 52761
Phone (563) 264-8506
2925 Cedar St
Ste 2
Muscatine, IA 52761
Phone (563) 263-7410
708 15th Ave
East Moline, IL 61244
Phone (309) 751-4023
1106 4th Ave
Moline, IL 61265
Phone (309) 623-4817
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
- nashmore635354@direct.ochin.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 209020843 | IL | |
| Family Nurse Practitioner | 363LF0000X | A161611 | IA | Yes |
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
Other providers in Moline, IL
- Arthritis Care Center PC
- Purani Arumugam
- Velusami Arumugam
- Steven Arvanitis
- Rachel K Ash
- Bassam A Assaf
- Association for Retarded Citizens of Rock Island County
- Asthma Allergy Clinic of Quad Cities, S.C
- Calvin E Atwell
- Benjamin Auliff
All providers in Moline, IL · Family Nurse Practitioner in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 19, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.