Individual provider Active NPI

Ashley Wire, FNP-BC

  • Family Nurse Practitioner
  • Rockford, IL
National Provider Identifier
1255013652
Registry record updated Dec 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
209027934 Issued in IL
Practice address
351 Executive Pkwy
Rockford, IL 61107-5339
Phone
(815) 398-4057
NPI assigned
Aug 4, 2023
Last updated
Dec 28, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 28, 2023

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 209027934 IL Primary
Urology Physician 208800000X 209027934 IL

Addresses

Primary practice location

351 Executive Pkwy
Rockford, IL 61107-5339

Mailing address

351 Executive Pkwy
Rockford, IL 61107-5339
Phone (815) 398-4057

Other practice location 1

1036 W Stephenson St
Freeport, IL 61032-4865
Phone (815) 599-6000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
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
I20240111002587 IL Practitioner - Nurse Practitioner 3678929676 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Rockford Urological Associates LTDGroup PAC ID 3971604380, 13 clinicians

Practice addresses (Care Compare)

351 Executive Pkwy
Rockford, IL 61107-5339
Phone (815) 398-4057

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
209027934ILMDUrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Rockford Urological Associates, LTD. Urology CurrentSince Dec 10, 2023 Accepting new patients

Locations

351 Executive Pkwy
Rockford, IL 61107
Phone (815) 398-4057

Interoperability endpoints

  • Direct secure messaging: ashleywire@rua.medalliesdirect.net
  • FHIR API: https://app.meldrx.com/api/fhir/uc30108_rockforduroassoc

Organizations & group practices 1

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.

Hospital & facility affiliations 3

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": "1691107200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703721600000",
    "number": "1255013652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "351 EXECUTIVE PKWY",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611075339",
            "telephone_number": "815-398-4057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "351 EXECUTIVE PKWY",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611075339",
            "telephone_number": "815-398-4057"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1036 W Stephenson St",
            "address_purpose": "LOCATION",
            "city": "Freeport",
            "state": "IL",
            "postal_code": "610324865",
            "country_code": "US",
            "telephone_number": "815-599-6000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WIRE",
        "first_name": "ASHLEY",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-04",
        "last_updated": "2023-12-28",
        "certification_date": "2023-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209027934",
            "primary": true
        },
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "IL",
            "license": "209027934",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockford, IL

Sources for this page

Verify at the official NPI Registry.