Bernadette Ashley

Key facts

NPI

1245612944

Entity type

Individual (NPI type 1)

Primary specialty

Primary Care Nurse Practitioner 363LP2300X

License

28152979A (IN)

Practice address

6401 E Washington St
Indianapolis, IN 46219-6614

Phone

(317) 808-7085

NPI assigned

Jun 18, 2015

Sex

Female

Sole proprietor

No

Organizations & group practices 3

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.

• Osh-in Physicians Group, PC Primary Care Clinic/Center · Indianapolis, IN · NPI 1073995338
  Medicare reassignment Care Compare group NPD IN
• Oak Street Health Physicians Group, PC Primary Care Clinic/Center · Chicago, IL · NPI 1083051643
  NPD (past)
• Oak Street Physician Services LLC Family Medicine Physician · Chicago, IL · NPI 1609234202
  NPD (past)

Medicare Care Compare profile

Specialty

Nurse Practitioner

Education

Other, 2015

Medicare assignment

May accept Medicare assignment

Group practices

Osh-in Physicians Group PC (62 clinicians)

Practice addresses (Care Compare)

Medicare participation

Medicare fee-for-service enrollment

Enrolled in IN

Eligible to order & refer

Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No

Medicare enrollment records

National Provider Directory

Medicare enrollment (NPD)

Yes

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jun 22, 2020.

{
    "created_epoch": "1434585600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592784000000",
    "number": "1245612944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 W MONROE ST STE 1200",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606032420",
            "telephone_number": "312-733-9730",
            "fax_number": "773-866-8014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6401 E WASHINGTON ST",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462196614",
            "telephone_number": "317-808-7085"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ASHLEY",
        "first_name": "BERNADETTE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-18",
        "last_updated": "2020-06-22",
        "certification_date": "2020-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "IN",
            "license": "28152979A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Indianapolis, IN

• Matthew Robert Ashbrock, PHARMD
• Brenda Ashburn
• Ruth Anne Asher-Lynch
• Stephanie Marie Asher
• Tarek Maurice Ashkar, M.D
• Stephanie Ashley, CST
• Krystyna Marie Ashlyn, RN
• Reagan Ashpaugh
• Aiza Ashraf, MD
• Anwar Chucky Ashraf, M.D.

All providers in Indianapolis, IN · Primary Care Nurse Practitioner in Indiana